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----------------- <br /> 3effler - Ryan Inc. _ 2 0 9 O Chain of Custody <br /> ENVIRONMENTAL O I V i 5 1 0 N <br /> B LOCATION <br /> ___---_.__-_ �----_---. ---._.----- -_ __----•------��----�---- -------------- PHONE NO. ---------- <br /> AUTHORIZED --- — -------- DATE P.O. NO. ----------- ---- --. . <br /> SAMPLE NO, OF SAMPLE DATEITIME_ SAMPLE CONDITION <br /> ID CONTAINERS MATRIX SAMPLED ANALYSIS REQUIRED LAB ID <br /> :ELINQUISHED BY: RECEIVED BY: <br /> ,ELINQUISHED BY: RECEIVED BY: <br /> 'ELINQUISHED BY: RECEIVED BY LAB: <br /> fESIGNATED LABORATORY: DHS #: j <br /> MARKS: <br /> i <br /> ATE COMPLETED FOREMAN - <br /> i <br /> . EE <br /> E <br />