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CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 95814-5213, (916) 444-9378 <br /> client: <br /> �P.vS `� eceI ng laboratory: <br /> Date: R �� Page: of. ._� A ab Analytical Lab <br /> Weather: r 0 �•-�- 191 Street <br /> No. of containers (this page only): Sacram to, CA 95814 <br /> Sampler(s); <br /> ERM-West Job No. Signature(s): (916) 447-29 <br /> s <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> - -- - - --- — so water)— — ---- ---- N Method - <br /> (grab/comp) No. Volume Type <br /> 7 FpL_T�Z_T-- <br /> -- ---- -- 1 /�_ f� %� --- T (r— D <br /> — ax <br /> 5-4 <br /> 40t4ll;4. <br /> Comments <br /> ::K <br /> ------------ <br /> : _ _ Custody Record <br /> —____—�O� / ----- Signature/Date/Time <br /> -- -- ————————— --- --- --- --- Relinquished <br /> r. ----...._.------- Received <br /> Relinquished <br /> Received <br />