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1 <br /> CHAIN OF CUSTODY RECORD �+ <br /> C11rnt name--�� ©C Lag Number r y <br /> _ ; .. <br /> JOb numbtr Anatvies reQuired <br /> Prolrcl nrm r� — 3 '7 _ - , <br /> jb <br /> o[eef manror <br /> Sarnpii Date Time. Composite Number <br /> number umpfed sampled Sample description <br /> or bf �`'y� is i' Remarks <br /> Grab - containers y <br /> L-1 2 1;1.5 � •, _...._ _ � �;}'��r f <br /> C-� z zy 3:rS — <br /> L-7 -La z.r.r ti <br /> z 2y <br /> Z a r2,:o <br /> z 2-1( <br /> .P <br /> 3:40 <br /> 4, <br /> 'r Signature <br /> Company ❑a 71me ` <br /> Rrlingvithad by �!n Q� <br /> Aecolvei by d ` <br /> ELz 3 1 �� 8o�0 t . <br /> ,.. <br /> Relinavlthed by f � <br /> Received byW. <br /> r �` <br /> ltellnQuishid•by — — — <br /> Floctivcd by <br /> BROWN AND CALDWELL Analvr(c <br /> .tat Laboratories b <br /> Noto7 Samples are discarded 30 @ayt after results are reporttd '6 <br /> ❑4255 Powell Street. Emeryvitlt, CAY 04508 (4151 428.2300 unless other arrangements ere made. =� <br /> 377 South Fair Oaks Avrnur.Pasadena, CA 94105 (2131 081.4655 Hazardous temple, will be iiturned to client or dltposed <br /> of a1 client expense, 1 <br /> 112 <br /> i Y , <br />