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i <br /> all P3 <br /> CHAIN OF CUSTODY RECORD BC Log Number <br /> Client name ,lob number Analyses required `g <br /> Project name <br /> Protect manager Sampler(s) <br /> �T 1 OEM 0 ! T2M7 ,P06Fe <br /> Type ti roc <br /> Sample Dale Time Composite Number .b�b •r9 <br /> number sem red sampled Sample description Remarks <br /> p or (Lf <br /> Grab containers <br /> ,C)L25,�, 1;17 F_FA - 602— <br /> t z�sb 1:17 <br /> f 5 <br /> a. <br /> • tiF <br /> r <br /> _ s <br /> Signature Company Dale. Time <br /> Relinquished b <br /> r <br /> Received by <br /> Relinquished by 1.f-c.lOU <br /> I , <br /> Received by '. <br /> Ralinqu'.shed by — <br /> Recrived by • �T_ <br /> BROWN AND CALDWELL Analytical Laboratories <br /> NOW Samples are discarded 30 days after results are reported " <br /> ❑•1'255 Powell Stree• 'meryville, CA 94608 )415)428.2300 UP'-'$ other arrangements are made. <br /> +�_,'373 South Fair 1, Avenue, Pasadena.CA 91105 (213) 6814655 1 taus samples will be returned to client or disposed <br /> -' or et client expense. <br /> --' _.._._ ., _.. .. ... ....._..... _.,.. ._ .,fig: <br /> n <br />