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Cal iforn is Water Labs, I nc. <br /> P.O.BOX 4249 _ <br /> 1430 CARPENTER LANE—SUITE G - S <br /> MODESTO,CA 95352y�A <br /> PHONE(209)527-4050 <br /> CHAIN OF CUSTODY RECORD <br /> � s . <br /> PROJECT NAME: <br /> Oe G f cot <br /> SAMPLERS (signature) Number dem v <br /> REMARKS <br /> of <br /> Station Con <br /> Number Date Time u Station Location tainers <br /> 2 <br /> EPS - 6Z�1 6Z <br /> WOU PiAarrE P 3 <br /> onS <br /> YO n <br /> R <br /> {( <br /> k <br /> ` r <br /> z r <br /> 44 Rel ed by(s>9f�t,fur� D / Time Received by (signature). Relinquished by(signature): Date / Time Received by iaignatur <br /> ' y � 7 1610 � b <br /> Compan or Ag cy: Company or Agency: Company or Agency: Company orncy� <br /> OV <br /> Zv �✓ <br /> Relinnqulshe¢ by{TcigQna��uree): Date / Time Received by (signature): Relinquished by: Date / Time Received b� igna�ture):� <br /> Jilt A Company or 10cy� VFVV <br /> Company or -A genc� L,� �1r�' Company or Agency:' 2 Company or Agency: <br /> z O <br /> Relinquished by(signa ure): Date / Time Received for Laboratory by: Date / Time Remarks/Shipping Information = <br /> Company or Agency: nature) �/ 6(� <br /> /, 6-/7- �• ,�c < Y Il 'r1/ice <br /> '-A 01n.r <br /> ....�.............r .. i .. .._.�e�.. <br />