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Enviromemm Resources <br /> M JtCHAIN ®F CU DY RECORD <br /> agement • awe _ <br /> 1777 Boteiho Drive, Suite 260 © Wainut Creek, CA a 94596 ® (925) 946-0455 a FAX (925) 946-9968 Page of <br /> PROJECT# PROJECT NAME MATRIX REQUESTED PARAMETERS <br /> 3o (D Z_ <br /> SAMPLER (PRINT NAME) (SIGNATURE) <br /> blo Lt5 <br /> RECEIVING LABORAXRY <br /> Al IE f ( f <br /> a SAMPLING m� Lu 2' SAMPLING <br /> SAMPLE I D DATE TIME U ir METHOD !R 2VOLUME <br /> ( ZL <br /> d � lom� x <br /> m 3 ORD y K <br /> M4)- 4J) `��, -5 K x. X <br /> Y qo0 3 1 Vj X, <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED PY DATE TIME FIELD REMARKS <br /> 3 , ob lb IV <br /> RELIN ISHED BY ATURE) UTE TIME t` RE 1VE Y DATE TIME / <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED BY DATE TIME <br /> REMARKS ON SAMPLE RECEIPT ERM REMARKS SEND REPORT TO <br /> ❑ BOTTLE INTACT ❑ CUSTODY SEALS ❑ CHILLED ,q e a s/�l <br /> ` f <br /> p PRESERVED ❑ SEALS INTACT ❑ SEE REMARKS � <br /> WHITE-LABORATORY COPY CANARY-FIELD COPY PINK-DATABASE MANAGER GOLD-PROJECT FILE <br />