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IMMAIMOnvAlants, Sample identification/Field Ch_.n of Custody Record Inc. <br /> _�_ Project: C u X v 1" w u X c. ✓ dC A) W.O. ,L!-n !�� ' f y(o, a <br /> Shipped by. C,I IMr i ' <br /> Shipped to: <br /> Results to tVj snentlon ol: <br /> �..,� tisrnpling sample No.of Anelysle <br /> Point <br /> Location Fisfdlu/ 1 eels �ttt Typo ' Conlain:Rre tisquirsd <br /> 4--:- -4 <br /> Cn <br /> rl Sampler(s)(signature) <br /> FieldiD Relinqulshedby:(signature) l { R"vrsdby:(rlpnstuis)=i. ,,,,i i ( lDatvTims l i Cammsnta <br /> . i � -•� � � ��rit f r k � M�,. <br /> 1 <br /> .i <br /> � 1 r <br /> Sealed for shipment y:( nature) y - patelryr�e ••t! ! Shipm _ont mulhod: `r ax--k-;— <br /> Comments: <br /> r;Comments: CIO h <br /> r, > ' �•• tt f - 1� r' �. <br /> r r <br /> 44 In 1-1 Y6 <br /> Hecelvinp Laboratory.Plesse relu m orlginai torts after signing for receipt of samples. <br /> I <br /> # fil'i <br /> c <br /> l <br />