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3 <br /> V <br /> CHAIN OF CUSTODY RECORD <br /> �1A c <br /> ;lira name 1 --"- _ OC Log Number J g <br /> Job number Ana!Analysts requited '* ' <br /> &1 6' (-AL eLL 31"� y fi <br /> rroja6t name <br /> 'r0 eCt manisl0f Sam ttr(s � � �G <br /> �Fa.�q <br /> TYPO 'e. y <br /> Sample Date Time. Composite Number c <br /> number LTPifd sampled Sample description Remerkt <br /> y�a � ;,� , <br /> Grob - containers Jb�}��� ��ya <br /> rzr <br /> /35 <br /> rovn�w trow� yj'_4k z[�) <br /> voce <br /> 113 d <br /> r. 0. _ It <br /> or <br /> zw <br /> � zf <br /> t J <br /> Company <br /> Helinquishad by ONO Time <br /> r tc�rc� ��CI�J-- G . <br /> R4Wlved by <br /> Rellnquisned by <br /> Received by '� <br /> Relinquished by <br /> 'J <br /> Received by <br /> BROWN AND CALDWELL Analytical Laboratories3 <br /> Notes Sample$ ore discarded 00 days after fetults as repcfled <br /> ❑1155 Powell Street,9mttyv111e,CA !1.4608 (415) 418.7:00 unless ot`-et arrangements ate made. � - <br /> F <br /> ❑3'73.5cuth Fair ba' •tnue, Pasadena, CA 91105 12-171 681.4655 t:- Sow sompica wlti be returned to client or disposed r <br /> expense. ; <br /> M1 ism gird W 001 <br /> s• <br /> s <br />