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CHAIN OF CUSTODY RECORD BC LOG NO. <br /> Client name Job number <br /> 3sOg � � Analyses required <br /> Project name LL �,p r ^10 <br /> Ste -1,17 VG5� k 77 C7n r ti S��\M-t- c7 c) c) 2{ vy <br /> Project manager Samplers) <br /> r � i s -- .. o �t of nc>✓. �b Car- �'� �� ��ti ,�0 �.c°e�o <br /> Q <br /> Sample Dab TypeL <br /> Number Time Composite O.e� <br /> number sampled sampled Semple description <br /> or of /�l Q� �Q t'e`as. Remarks <br /> Grab containers <br /> 1C'. 70 <br /> C S o t l 1F Q 0. i 11XXY <br /> T5 P- i1 ! 10 5oi1 piLQ, <br /> t <br /> T <br /> _11 : ;2-C) G I <br /> 1 <br /> Isr'-3 <br /> if <br /> rr5 5-1-�^et f <br /> eNq <br /> u <br /> ss1 <br /> - 0123 <br /> Ei <br /> Signature Company Dale Time <br /> Relinquish ed-bv <br /> Received by <br /> Relinquished by ' <br /> Received by <br /> Relinquished by <br /> Received by <br /> BROW <br /> ,N <br /> %AND CALDWELL Analytical Labofaiories.l� Note: Sampler are discarded 30 days after results an reported <br /> 'JO"r treat, Mary , CA 94608 1 1 4 �ywi unless other ananpements ere made. <br /> V uth Feir O venue, Pew CA 9 5 17131 Ld645 Hazardous samples will be returned to client or disposed <br />