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CHAIN OF CURODY RECORD <br /> ERA?West, Inc. Wil 2 1 9 S <br /> 1777 Botelho Drive, Suite 260 • Walnut Creek, CA. 94596 • (510) 946-0455 • FAX (510) 946-9968 Page ,a Of <br /> PROJECT# PROJECT NAME <br /> '32 y� HeInz 7raCr <br /> MATRIX REQUESTED PARAMETERS <br /> k <br /> SAMPLER (PRINT NAME) (SIGNATURE) <br /> Jed mcLaug A l/hLAB <br /> RECEIVING RATORY O� <br /> o %aa a SAMPLING �,? Uj z SAMPLING <br /> SAMPLE I D DATE TIME pc3 METHOD Q } VOLUME �b <br /> a <br /> 1'N3 <br /> 7-3-7103070 W dry hvhL 1/40 \100 <br /> - 1 KI <br /> UST 1 1 103C <br /> Xn yl I I I N <br /> sT' ao I Im X y I ix ><V k '�- <br /> ES3I YS rl nc y <br /> Rd-1111-17 <br /> RELINQUISHED BY(SIG TURF) DATE TIME REOVVED DATE TIME FIELD REMARKS <br /> Pmerpw ve (Nd) was rl' <br /> REtINQUISHED B S 9ATE M <br /> "/Z) ?4' �� a ou+ of VMSjn field die -� <br /> 6 k— 1-05 �j rea4'an wlfG, 9vvhd ► <br /> RELINQUI BY(SIGNATURE) DATE TIME ECE ED BY DTE TI E C� [_i3-d'- <br /> +O'J 6v b�J(QS. �?US 4/0/4 S ! <br /> haVe k oldi+r 'rnc <br /> REMARKS ON SAMPLE RECEIPT ERM REMARKS SEND REPORT TO <br /> BOTTLE INTACT ❑ CUSTODY SEALS W CHILLED <br /> 0 PRESERVED 0 SEALS INTACT 0 SEE REMARKS I <br />