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TE T S EARTH T SILVER RUSH <br /> - 5 day turn-around <br /> __J ENVIRONMENTAL CONSULTANTS .� <br /> r <br /> U1 , <br /> `_ -- CHAIN OF CUSTODY RECORD D� <br />' ROJ$CT NAME: <br /> Number of <br /> SAt3PLER (signatu <br /> _� Containers/ <br /> Type of <br /> Date Time Sample Location Sample /y <br /> 1'"Z.- "Y /� Lab I.D. <br /> 21-51 12;4D. sw-05ZI91 -T - lo ' �A I <br /> I-Z:sb-pm -z n x - s� kTrV41Ccac <br /> n uishe y : Date / Time Received by : Relinquished by: Date / Time Received by : <br /> Company: (r�� f'3S �� Company: ,yrs Company: Company: <br /> Relinquished by: Date / Time '1R�ieceeived by- Relinquished by: Date / Time Received by: <br /> Company: Com an :Geo 1 Com an Company : <br /> Relinquished by: Date Time Received by. Relinquished by: Date Time Received by : - <br /> Company: <br /> y :Com an : Company Com an : Com an <br /> NOTE: In preparing legal documents always use ink and signatures <br /> P.O. BOX 2242 (209) 384-1041 MERCED, CA 95340 <br />