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Wm. J. Hp�'' <br /> ` unter ,& a Dr. <br /> Associates 2220 Loma Vista Registered Geologists <br /> Petroleum & Mineral Appraisers Sacramento, CA 95825 <br /> Dr. <br /> (916) 972-7941 <br /> FAX (916) 972.1683 <br /> CHAIN OF CUSTODY RECORD <br /> Lab Report# /1 <br /> Project Name: rn 17A)ill 11of a I e <br /> ye.I Sampler's Name h I�€ <br /> Project Number: � � F l �� �`j// - <br /> �I____ Date: <br /> SAMPLE DATE TIME TYPE OF # OF ANALYSIS <br /> NO. SAMPLE CONT. LOCATION REQUESTED REMARKS <br /> l/ 321 121H SG/L- /U o r=f/ W <br /> T !;�,Cowl 1�r TPxa <br /> l J2 <br /> -2A / ov ,e o TrPq' <br /> Z I OW f'e TtaP A c- toad <br /> Lr �`Pr <br /> A 7j��7 Qin, <br /> 9 voa s <br /> Relinquished y sign Stu ) Reeyvad By: <br /> ''// �• / l ) .bate Time <br /> R.f/45 is ed by(signature) tved By; Date <br /> ♦ Time <br /> : <br /> Relinquished by(signature) Received By: Date Time <br /> NOTES: A <br /> tvae / S &lit y ll-m C� C !G� `JS�i�NC t-Tv, , '6v yiC t21�2 8 5/ 9 <br /> , <br /> �r o� fiUP I1 C� <br /> V <br /> 1 <br /> �1lG <br />