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a <br /> __ — -- <br /> SAMPLING/ANALYSIS'REQUEST AND CHAIN OF CUSTODY RECORD R <br /> Project No.: 310-o r.o 1 Requested By: CgR6-r� ->! P.O. No.: s y 22 <br /> I <br /> REQUEST , LABORATORY REQUIREMENTS CHAIN OF CUSTODY <br /> SAMPLE TYPE: Sa r� L E <br /> i <br /> CONTAINERS 40WRACT LABORATORY <br /> SAMPLE E.Q. PARAMETERS SIZE/TYPE QUANTrrY PRES. LAB DUE SAMPLER SAMPLE DATE RECD PY COMMENTS DATE <br /> DATE <br /> UA $-4121 }INYI�R VOLA-ME -,q 6rQ55 1 1C6Zj � r a5�g�1 ��� �3� 4 <br /> 9 <br /> U-A 1,5-r %z <br /> �� <br /> lf)-B 15-16%2 <br /> U-C 7-S% <br /> i <br /> U-C 16-172 J A0 <br /> I <br /> I <br /> I <br /> r � <br /> G C 1r w <br /> v rIt✓ <br /> SIGNATURES: <br /> Reli ul d 8 ( i <br /> 2= ature) Organization 1 e/7l—le2i4 Received By;Signatura) Orgonization Data/Mme' Turn Around <br /> � � )Clrcle Choi I <br /> Reil fished igi alma) Organization Dafa/T1mo Received By,Signature) Orgar izelion Data/Tlme 24 <br /> 48 His <br /> 5 Days <br /> lelinquish¢d 9y{Signature) Organization Date/Time For L ralory B (Signature) Ddlo/Time Tp Days <br /> j S•I3 5 rss <br /> i <br /> i <br />