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-- -- ------ - - - ------- <br /> Chain-of Custody Number: <br /> S IE,C(4,)'1131 'Chain-of Custody: <br /> Record <br /> Held Office: 617— M eK e-+0 QkddiiiA�1,Wuments are attached, and.are.a part 6f.this Record <br /> —3q Named <br /> Address: �i 73 v <br /> 5 <br /> 4 0- re <br /> _r"CA+t Location: <br /> Analysis Request <br /> Project# 7b_ 7,iZ -0o,1-ni Task#_Lk's <br /> Project'Manager :rL, &4t!et- <br /> Laboratory— C_r-L e-1,,e,— co <br /> Turnaround Time S z x a. = F..,. . <br /> MEFri <br /> ,3 1 <br /> Sampler's Name 02 <br /> Cd- <br /> E. <br /> Sampler's Signature Comments/ <br /> Ln <br /> I- .ro- 0 z <br /> Sample ID Date Time Matrix C�L_ 18 C%g g -CL I Instructions <br /> ' );Z <br /> w 7-17-74 16. <br /> At U) <br /> #,o L 0 Ll 70 <br /> ffo <br /> L4i. <br /> _7 <br /> M_w <br /> 1-w-UJ 30 J0 <br /> Li <br /> 41-7to <br /> 8pecial Instructions/Coirnrhe'rits: Relinquished : ,Rddbjv d by, Sample Recelp; <br /> 7 gTotal no.of contalriers:' <br /> Si <br /> W Rc-al <br /> AL Print'. <br /> 9,m!!j Sign <br /> e— Chain of custody seals: <br /> qr�pan ornpaq Rec'd..in good condit.Ion/cold: <br /> �qL <br /> U�J 7?t, rU /M:tZ AloorICC 'Conforms to record: <br /> Ti 7 3' Date <br /> Im <br /> Time nl_65ft Date 62 <br /> Relinquished by: Received by. <br /> OCL <br /> Sign Sign <br /> Print Print <br /> Client Contdct:Zc,4, i?owe, <br /> Company Company <br /> Time Dat6- Time Date Client Phone:7 t( 37 <br /> E M-STREC Aft 1195 <br /> VIA— 3 <br /> Date: Page of <br />