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M <br /> D S <br /> Services, Inc. <br /> CHAIN OF CUSTODY <br /> SAMPLER 7—F✓F SITE NAME d ADDRESS ANALYSES REQUESTED TURN AROUND TIME: <br /> WITNESSING AGENCY <br /> UNo. # o799 TRAC/y <br /> 0 0 <br /> s la o 3 FFA5 T //-a STREB T I w I <br /> � x - <br /> No. QI ,J-- Qf . <br /> SAMPLE Of SA1(PLINr f f R E M A R K S <br /> ID NO. DATE TIME SOIL NATER GRAB COMP CONT. LOCATION n <br /> U - /1-30_9 X X 3 M w - X <br /> u _ X -3 X X D11C� <br /> v _ 3 x x 3 X X DI ( I <br /> u - �-- <br /> u_ s <br /> v_ X X _ 3 _ 61 X__ X_ iJl ► �( <br /> U- 7 3 x <br /> u_ g x n 3 x X 011 �- <br /> v- 7 X X 3 x <br /> Relinquished by: (Signature) Gate/lime Rece I by: '�Rignature) The following MUST BE completed by the Inborotory accepting snnples <br /> SrEv 93 090 tam_ --�>� I�r nr„lysis: <br /> -- - I. (lave all sanples received for analysis been stored in ice? <br /> Relinquished by: Signature) Date/Time Received by: (Signature) <br /> Z. Will snn3>les remain refrigerated until analyzed? <br /> Relinquished by: (Signature) Date/lino Received by: (Signature) 3. Did any sanples received for nnnlysis have hend space? n� <br /> 4. Were snnples in appropriate containers and properly packaged?/�/ <br /> Relinquished by: (Signnture) Date/Time Received by: (Signature) <br /> A Signature Title Yate <br /> 2.1111 Sr:ntweli I hive'Suirr.I(XI <br /> Cnncunl.01ilumia 9152(( <br /> 'R-1:5100)2511Y) f.ra:511((,17(012 <br />