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• • ---1 - <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street , Suite 200, Sacramento, CA, 95814-5213, (916) 444--9378 <br /> cllent �cr¢ t.,/,¢�!� recelving laboratory <br /> sDate Page of _! -�rt-- U-O A A.v4z, <br /> G LE�i��Wr9`�'2'"'f 'If7Z C�� <br /> Weat�ler -- � ,S4CR,++-rte, cA <br /> No of containers (this page only) <br /> Sampler(s) <br /> ERM-West Job No jet <br /> Signature(s) <br /> Sample Time Sample type Containers Preservative Ice Samp]Ing Analyses <br /> ID (soil/water) — —— ——— WN N Method <br /> (grab/comp I No Volune Type <br /> Mw-`.� w1+,2,a� w� AW� �o�� y ,,: 77°�f- v CTI, 0575 <br /> __ `0 _ _ _ __ __ _ ____ _ _ _ ____ _ s7G <br /> MI"�-S /ZOd 7 °14 <br /> Fw 4 j3�� / / LITzx g7*fBtxkL� _n/4�✓E Y $•4-7cx5L -1-?,0/,VZ> 5770 <br /> -(� 3l4 ?�- l2 / • c ——— -- 'Ta rpl-r- Carr Fax-1 __ 577 <br /> --- ------ — ---- ———— ------ — -- ---- ———— B-D <br /> __ —___ _ ---— ____ <br /> — �������2 Custody Record <br /> ------------- <br /> Comments „^LQ_1]1Q�� �! _———____- <br /> --�T Signature/Date/Time <br /> _.—___-----_._ —_—.-------------- Relinquished �� � «A014Z- � .So <br /> -------------_ -----------------—— <br /> i7 Q 1S'ss <br /> Received � <br /> _---—---——------——----————--———--——————— i� G3� <br /> Relinquished <br /> —_,,,.-------_---.....----------------------_ Received --�� � $� !�Q <br />