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V*ER ORK i <br /> i4 <br /> CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJ.NO. PROJECT!NAME <br /> ANALYSIS TYPE REQUESTED i <br /> SAMPLERS:(Signature) ¢ .1Au <br /> C i iu a <br /> Ef 0. 0 <br /> i <br /> t:3 I.D.NO. DATE TIME O <br /> a STATION a LOCATION / <br /> f11 U C9 <br /> REMARKS <br /> 2 ZA 1310 <br /> ✓ / 1 p 'ire Sof�qf !4 c <br /> ELI— 7 <br /> s <br /> PLtCASEHETURPI ICE CHESTS <br /> AND BLUE ICE TO WATERIMRK. <br /> LAB. VV4Ar PAOJ.MQR. <br /> Rslinquished try: Date Time Received J0-1 U.'0 41 i A"T% l <br /> Relinquished by: i late Time Removed by <br /> Relin isi► . L <br /> q �l► Date Time Received by: Relinquished by. Datej <br /> Time Received by: <br /> �tetin ished by Date Time Received by Laboratory Date lime REMARKS[Shipping Related): <br /> • .: <br /> 1710)MAIN STREET n ESCA[,` )CA 95320 (209)838-3507 <br />