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California Water Labs, Inc. <br /> P.O.BOX 4249 <br /> 1430 CARPENTER LANE—SUITEG <br /> MODESTO,CA 95352 <br /> PHONE(209)527-4050 <br /> CHAIN OF CUSTODY RECORD v A� <br /> PROJECT NAME: pLs-t,•L. <br /> De f o <br /> SAMPLERS (signature) .t Number <br /> of REMARKS 9� <br /> Station ci Con- <br /> Number Date Time Station Location tainers <br /> I <br /> 6 ((47 H00 x <br /> Yon <br /> UV <br /> i <br />' J <br /> I ' <br /> Ral' �u ed by(s'9 tur rDate <br /> / Time Received by (signature): Relinquished by(signature): 'Date / Time Received by (signature): <br /> Comp an or Ag cy: Company or Agency: Company or Agency: Company or Agency: <br /> 6V , i <br /> Relinquished by(siggnatureg): / Time Received by (signature): Relinquished by: Date / Time Received by (signature): <br /> A .. ,'111' lI-(.- .. i./",1 <br /> , <br /> Company or A enc�:. `� "�l 1�(� Company or Agency: ` Company or Agency: Company or Agency: <br /> 4 nc <br /> Relinquished by(signa ore): Date / Time Received for Laboratory by: Date / Time Remarks/Shipping Information <br /> Company or Agency:, l'�!�- (signature) (� ��-�,�� <br /> !d YC !La ci- I f}y� <br /> i <br />