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Gin f4osa2-8ac3 ■ (48) z5 -'x#51 <br />CHAIN -OF -CUSTODY <br />RECORD <br />GeoRestoration, Inc. 585 Emory Street, Sart Jose, CA <br />� <br />� <br />Type of Analysis <br />O <br />U <br />Project Number <br />Project Name <br />Farmer Lodi Chrome <br />{3$37 <br />_ _ ___ ..___ _ <br />6 <br />a <br />0 <br />1 <br />Notes <br />� <br />Send deport Attention c : <br />Roger Dockter <br />E <br />� <br />r' <br />a71 <br />m <br />� <br />s <br />> <br />�: � <br />-a <br />Sample Number <br />Date <br />Time <br />Comp <br />Matrix <br />! Statior Location <br />� <br />� <br />SS -5 d 1.0 <br />r G`<9�.°: <br />S <br />Nickel strip tank <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />N <br />C <br />......... ------ <br />SS -5 d 3 0 <br />� � f , � . <br />f f ,�rr <br />S <br />Nickel strip tank <br />a <br />TP <br />I <br />Hold <br />� G <br />SS -5 d 5.0 <br /># 1` <br />t <br />S <br />Nickel strip tank <br />1,2 <br />TPE <br />X <br />X <br />I X <br />X <br />N <br />L <br />SS -6 d 1 0, <br />a =�3 <br />}: i <br />S <br />Repair room <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />N <br />G <br />SS -6 d 3.0 <br />; c /c i <br />Irl ` 5.S <br />S <br />Repair room <br />1 <br />TP <br />i <br />Hold <br />C <br />SS -6 d 5.0 <br />lkf�-4� <br />cf ; .45 <br />S <br />Repair roam <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />1 <br />N <br />C: <br />. ......... <br />_ <br />€ <br />. <br />SS -7 d 1.0L4 <br />' t <br />S <br />Office area <br />1,2 <br />TP,E <br />X <br />X <br />X <br />X <br />N <br />C <br />SS -7 d 3.4 <br />: �; ?r <br />C 3 ; ( <br />S <br />1 <br />Office area <br />1 <br />TP <br />Hold <br />C <br />SS -7 d 5.£3 <br />,� j ��'� �€ <br />f l: Z Y <br />S <br />Office area <br />12 <br />TRE <br />X <br />X <br />X' <br />X <br />� <br />F <br />€ <br />_ <br />N <br />i <br />..._. _ _....... <br />C <br />SS -8 d 1 0 <br />{ <br />it :04- <br />S i <br />Polishing roam <br />1,2 <br />TP.E <br />X <br />X <br />X <br />X <br />� <br />N <br />C <br />SS -8 d 3.0 <br />t�, <br />e <br />S <br />Polishing room <br />1 <br />TP 1 <br />I <br />Hold <br />C <br />SS -8 d 5.0 <br />14: A/C' <br />Vi t. IC -4 <br />S <br />Polishing room <br />1.2 <br />TP„E <br />X <br />X <br />X <br />X <br />N <br />C <br />-3 <br />t <br />: $.t ! <br />r <br />Stlplicate <br />1, <br />TPI <br />XX <br />X <br />X <br />ht <br />C <br />E-1 <br />tc y fa <br />Equipment Rinse <br />t--L- <br />Hold <br />C <br />a (; <br />i,c� <br />»•i <br />j <br />Relinquished by(Signature) DaterTime; Received by, {Si naAure Dateffirne <br />�.... <br />. <br />i Instructions <br />Tutu around time <br />4A—•48h:s1* <br />inquis e by (Signature), Date,,Tirne i Rectived tay�iSsgnature) :Dat&Tint <br />ts� r ? Ly t L; - €3 <br />Container ty `J p Ap rel gtas via'. L = f liter glass battle. <br />501Mt 55Ci mi plan is tottre f tubi r =brass. SS = <br />Preservative H HCL, N = NO,, C=4° C <br />Matrix- 4"J = Mater, S = 511. A Ali. Ws wipe <br />Rei=r q,rshezt by tSynataire` mate{rune Reteiv .d kry. �S 4natu�ei : C7at*;frrrt <br />' <br />r { <br />skarniess s:eei P Plastic;,: iii = glass jar, E - Encore <br />