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.dam <br /> LE I DEI�IT F I CAT ION RECORD <br /> CHAIN OF CUSTODY AND SAMPLE <br /> CA, 95814-5213, (916) 444-9378 <br /> West 2001 P Street., Suite 200, Sacra — receiving laboratory <br /> ERM- cg. ! Page: � of: <br /> client, Date: <br /> Weather: e on1 ) ----- <br /> No. of Containers (this pag y ' y <br /> sarnpler(s): , <br /> Signature(s): <br /> ERM-West Job No.t'Z,�$ O Analyses <br /> Preservative Ice sampling <br /> Containers ��� Me'.hod <br /> sample Time sample type — --- rs —_ <br /> ID [loll/water) VolLme — Type -0 3 <br /> (grab/comp) rlo' <�FPc So30�bV -�— <br /> 1 (�cT E —— �s <br /> 'r91, 5 L s� <br /> —— —~ Custody Record <br /> —`-- ---------- -- Signature/Date/Time <br /> Comments O: �4- — '----� ^.— — Relinquished <br /> Recelved - <br /> --- RellnWished <br /> ---- -~— --"_ —_ -------r�— _ _ --- —� _— Received <br />