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U-1 �f 1i / qs IV641 Chain of Custody Record �`� <br /> 1 Anal sir. Requested icheck boxes) <br /> �' 3UBN It: 9749001 REI•': tiC <br /> Original Report & Invoice serol to; <br /> z'aciilc Gas & Electric Company«- Anthony Phillips, Lab Director Ct.IEN7: PGF -PIT <br /> 83etta Power Plants • Pittsburg bt1E , 1t ;.�• <br /> vuhemical Laboratory Copy ofRepart sent lo: RCF 4t : :;`;:33F� <br /> X396 W. 10th St I P.0, Box 590 <br /> �'ittsbvrg, CA 94565 Sampled by: <br /> 1 <br /> "'hone A: 15101 427-3545 Recorded by: �,k <br /> =AX i+: 1514) 427-3535 <br /> � Aert arks, <br /> 6+Tw+T—nur Cato*,w T eP+ <br /> Leis Semple Dais Tim. .rr„• k.0.&Va, Sample Description Itw—km at Iw.«,0MIld, Prsae{• Cortxraenis <br /> C1, Numbev Santiplad Searnple-d "!"°”""• (planl, location taken, etc...) �w..r. tet`'""ei votive' �2A Ix. camp, or <br /> era. Olera.as...l Arab. air-) <br /> M <br /> �l <br /> N ? <br /> M <br /> t� <br /> rul <br /> LM <br /> Y <br /> dJ A-1 <br /> W <br /> r_ <br /> c3 <br /> +-' <br /> Signature <br /> Print Name Company Date Time <br /> Refi nquiahed by � �� . ; A - � P 141 LL�o S /.�','f Cc <br /> n3 <br /> � Received by <br /> Aehrwf ahe>d by <br /> (D Recelved by ` '3 <br /> + Railrvquish.d by <br /> � Aecelved by <br /> fgjoeion 1.Sn3AS,CW D.0.1.06,S��CMmVa•m.flb-a�,Cunod�i •�s 'P+eeer.edWe: None"Mr✓O�,N2S0�,IiCL_u.OM,7MeT <br />