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CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street , Suite 200, Sacramento, CA, 95814-5213, (916) 444-9378 r <br /> client i receiving laboratory <br /> Date. Page- / of- <br /> Sv�v,vy w.4�e� <br /> Weather. <br /> No of containers (this page only). 13 .- <br /> Sampler(s) lD Hcns � <br /> ERM-West Job No /a �� O� <br /> Signature(S) ' <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> ID (soil/water) ------ (Y/N' Method <br /> (grab/comp) No Volume Type <br /> �-5 <br /> 1 1111 a <br /> -— - -- - - -- -- � �-a - - -- -------- <br /> xAL <br /> Vok- <br /> — — -- —_-- _-1- <br /> 1w <br /> — 1-- <br /> --- — 3 el�6 Q D -- <br /> Mw-6 3 ,D - - --I <br /> - --------- <br /> Comments _ _________ Custody Record <br /> gnature/Date/T e <br /> -^�------- g.2.Sr-y <br /> Relinquished �!��► <br /> --_.— PO—�— �?i -----._.....---...._._......_.. _ _. ..,..... Received — — <br /> Rel lnquished — -2 ��1�i�z <br /> --------.._...—.-----------_.--_.....,................._......_. — — "— <br /> Received — j Vg�jLL <br />