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gj <br /> • <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 956 1 4-52 1 3, (916) 444-9379 <br /> — recelvtng laboratory. <br /> client, Z-IG- J---- page: L of: J ' <br /> Date: <br /> l� Weather: <br /> No. of containers (t is page only): <br /> Sampler(s): — ----- <br /> ,. G�-Signature(s): <br /> -- <br /> @RM-Wa st Job No./–x/Y•D�-- <br /> Containers Preservative Ice Satnpling Ivialyses <br /> Semple time Sample type ———— Y/N Method <br /> omp) <br /> ID (soil/water) No. Volune Type <br /> (grab/co _ }} <br /> � <br /> SD <br /> — — Custody Record <br /> Comments: — — -- ---- ------------- — Signature/Date/Time ' <br /> --_--- �- ------------- _ - <br /> -�---� Relinquished <br /> ---_.-------_----------------_.— —._._ Received <br /> — — ._—---_.-- ------- ——— Relinquished -- <br /> --------- `----`_"-- Received V -- <br /> 1 <br /> MAI 1.1 <br /> o - <br />