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CHAIN OF CUSTODY RECORD <br /> PROJECT NO. PROJECT NAME <br /> N yOm� l �� ANALYSES REQUESTED <br /> /J �I/ I s <br /> AMPLER(SIGN) SAMPLER(PRINT) E� <br /> F a <br /> z r <br /> SAMPLE ID DATE TIME o z PRES.USED w o a <br /> O i V COMMENTS/REMARKS <br /> 1 <br /> S 1 <br /> Relinquished b Date: TieR wed by: Dp[ :nl� Time: Send Report To. 1 <br /> elinquished try: Dale: Time: R ved by: Date: Time: %\ Earth Systems Consultants <br /> Laboramry: Turnaround Time: Receipt Northern California <br /> �`��11Y^ I p Fmmo Wane ll CA 94539 BIW, <br /> 6 S"+'a I l (510)3530320-Fax(510)3530344 539-0450 <br /> • <br />