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NO. CHEMTECH ANALYTICAL LA60RATCRIES (978)635-3962 CHAW OF CUSTODY-LOG-IN-- <br /> s <br /> ANALYSIS DI P A RESULTS VERBAL: <br /> PROJECT NAME � � ¢ <br /> u 4. <br /> 1 <br /> LL z .. � Yes 0 No � I <br /> PAGE CLIENT CHAIN OF CUSTODY a o c a 5� o <br /> O Z i QO O c, DA7E BY <br /> OF� z 0 4 /��0'� / �� ?� TO WHOM,- <br /> CHEM SAMPLE I.D. DATE TIME MATRIX U / 4�� =O ,C � PHC)NE <br /> TECH SAMPLED SAMPLcU <br /> I-D.a I I COMMENTS: <br /> q, - -9 s <br /> V3I I 1 I � phJh� <br /> gr- 2-f V.f I ' <br /> V. <br /> I <br /> I I III ! II 11 <br /> . r <br /> Relinquished by: I Datel l ime Received by:ISq��wel <br /> i <br /> Relinquished by:ts"two DeEerrime Received by:Isgna,wey i <br /> Date/Time Received for Laborata b -y <br /> • Relinquis ed by:iS"t,.l �''} / rY y= <br /> i. r , <br />