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585 Emory Street Mi" , <br />CA 95,110-1822 <br />ne' (408) 292-8450 CHAIN OF <br />GeoRestoration, Inc. San Main Line' <br />CUSTODY FORM <br />Facsimile 1408) 295-8451 <br />Project Name, <br />Project Number Task <br />Global I D.. <br />Project Address. 73 t <br />Turnaround 110 day — 3 day— saine day <br />Time: 7 day A2 day — other <br />(working days) - 5 day 1 day <br />\A C\ <br />Laboratory, McCampbell Analx�cal Contact Rosa <br />Lab AddresslPhone: 1535 Willow Pass Road, Pittsburg, CA L8�-252,�-9�02 <br />--77 <br />Anal ses Requested <br />Project Manager4 1 - <br />PM Phone Number, Email- mam�georestoration.com <br />Sampler 7W75 Phone. (408Ls 292-8450 <br />Samle information Container Information <br />Comments <br />Matrix Type Preservative <br />No' <br />Sample ID Date Time Spit watir vanes <br />Field Point Name <br />Same as GRI Simple <br />lA <br />1.- <br />x <br />J11a JL <br />Additional Comments invoice to GeoRestoration: Inc. and send report to mainageorestoraton.com <br />Geatracker EDF <br />Relinqutshed By: Aft -Ax— Date[Time Received By C--- DatefTime <br />,.-- 4-S4�-- <br />Relinquished By: JAJ_ Date;Tirne. Recervea By Dataffxme. <br />Relinquished By: Date/Time: Received By DatefTime <br />`ample Condilron: Good? Yes No ROrleralcol Yes V No Cooler Tempt Tfan. 1prottats,m Method Page of <br />Container TM- V = 40 m0vol, L = 1 liter amber botlie 5W ml = 500 mAlilitei bottle. T = tube (B - brass. S - statiess steer, P - pjaslici W -L HydrochvIc acid, N = Nitric acid, C = 4o C <br />" ; t, hr- - <br />