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California plater Labs, Inc. <br /> P.0. sox 4249 <br /> 1430 CARPENTER LANE—SUITE G <br /> MODESTO,CA 95352 ' <br /> PHONE(209)527-4050 G �i•��n <br /> CHAIN OF CUSTODY RECORD <br /> C . <br /> PROJECT NAME: <br /> OC' 6 foot 1�y'yD y. <br /> SAMPLERS (signature) vti Number <br /> of REMARKS <br />! Station <br /> Number Date Time Station Location GOs <br /> n- <br /> tainer <br /> 6 t6 �h WCU tiUrre P J EP6 6 Z <br /> yon" <br /> f <br /> t <br /> I J <br /> f , <br /> Reln Luj ed by(sjgpptur D ttt,ee7/IG Time Received by (signature): Relinquished by(signature): Date / Time Received by (signature): <br /> . !/ / <br /> f wnx <br /> or cyi ( L�" Company or Agency: Company or Agency: Company or Agency: <br /> t � <br /> Relinquished blsignatur ): Date / Time Received by (signature): Relinquished by: Date / Time Received by (signature): <br /> Compan or ,� 1 `� /� + <br /> y `r "A`\ Xi �'/�j�! t Company or Agency: � Company or Agency: Company or Agency: <br /> Relinquished by(signa ure): Date / J�eRecived for Laboratory by: Date / Time Remarks/Shipping Information <br /> Company or Agency:, / �/- nature) (, oU <br /> C l Lr� Gr gym. <br />