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U-1I Dtyt�!_-L-rL1- <br /> Chain-of-Custody Record N ' 1428 Date 41_ 9_ 96 age of <br /> Project No.: e 3 ANALYSES REMARKS <br /> Samplers 15ignatures): 5z Additional Comments <br /> LU <br /> (4APP,QA samples etc) <br /> m m o m Q O <br /> m n n a 13 <br /> }� a o a 4 o v 13 0 <br /> id Oi } +�+ U 0 U <br /> - 0 <br /> r2 dl .moi a <br /> Rate Time Sample Number o n <br /> IA W W W W F F W 1-' U tL Q t. <br /> ~s- 6 Mw-3 w <br /> is •�ilerICdr1►�J �: 1ALk <br /> ly i5 e&vr <br /> 19 -7 <br /> / ex <br /> Turnaroun time: <br /> Result, <br /> to: Total No.of containers: <br /> e `. <br /> Relinquished by isign ture): Date: Relinquished by(signature): Date: Relinquished by(signature): Date: Method of Shipment: <br /> Printed Name: 6 Printed Name: Printed Name: Laboratory Comments and Log No.: <br /> -okrG �Q t)L Ti e: Time: Time: (n a <br /> Company: Company: Company: <br /> Geos-r►a.�,le.� <br /> R ceived by(signature): Date: Received by(signature): Date: Received by(signature): Date: <br /> 1� <br /> Printed Nai (o Printed Name: Printed Name: eq.Qg� Geometrix Consultants <br /> WW1 1 Time: Time: Time: 2444 Mein street.Suite 215 <br /> Company: tii3� Company: Company: Fraena,ceiifornia 93721-2734 <br /> 12091264-2535 <br /> (209)264-7431 FAX <br /> Distribution: White,Yellow—Laboratory Pink—Originator <br />