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{ r F R <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 958 1 4-52 1 3, (916) 444-9378 <br /> client receiving laboratory <br /> Date: Page: of: <br /> Weather: <br /> No. of containers (this page on)y): <br /> Sampler(s): <br /> ERM-West Job No. S i gnature(S): <br /> Sample Tlme Sample type Containers Preservative Ice Sampling Analyses <br /> ID (loll/water) — ---- ----- WN Method <br /> (grab/comp) No. Volume Type <br /> ---- ---- ------ -- ---- ------ ------ --------- --------------- <br /> --- ---- ----- - ------ ------ ------ --------- -------------- <br /> Comments: —__—` —— — ^—— —_ _ _____ _ _————— Custody Record <br /> Signature/Date/Time <br /> — Rel lnqulshed <br /> —_.....�,..,-----.----_..�--------- Received —.�—�.--------- <br />