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URIAH ENVIRONMENTAL SERVICES• INC. <br />CHAIN OF CUSTODY <br />****For Office Use Only**** <br />Project Name:�� 72ANSA0111- Job#_vi <br />u <br />u SAMPLING COMPLETED:: C •A DATE:-" w BYs <br />Alz a <br />SITE NAME AND ADDRESS: <br />j7g7 f q 7-nc <br />REGULATORY AGENCY REPREStUTATIVE PRESENTS LIF - <br />REGULATORY A ENCY REPRESENTATIVE TITLE: <br />14-07 Y"ai- <br />LAB USED: o�Dlrlq- LAB ON SITE? ye <br />SAMPLE TO LAB VIA? Lab Rep Uriah Staff ur �+�ran�� �a�r,�✓' <br />SAMPLE# SOIL/WATER ANALYZE FOR # OF SINGLE/ <br />PRODUCT CONTAI` RS COMPOSITE <br />a �/1'k.rs� voP5 <br />Y13LL.-L- sn � �-- �� �/� /Gi ril3 /�1 �✓� 't �� !J� L - / ��✓i���r�'^' <br />u <br />SAMPLE RELEASED BY: SAMPLE ACCEPTED BYs <br />p � : AM/PM.,�/nOJ <br />AM/PMO—/�/8M/6' 9 _ — — <br />�1 <br />s� AM/PM,_ j--/89 —:__ AM/PM,,—/—/ <br />TURN AROUND:l.�,i1.�� <br />RESULTS TO URIAH BYz <br />