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i y <br /> W = i[ !r <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM--West 2001 P Street., Suite 200, Sacramento, CA, 95814-5213, (916) 444--9378 <br /> --- eceivyng Eaboraiory: <br /> client: 4 <br /> _� 5 �I page: af: A ab Analytical Lab <br /> 5 Date: <br /> Weather: 191 street <br /> No. of containers (this page only): Sacram to, CA 95814 <br /> Sampler(s): <br /> (916) 447--29 ; <br /> ERM-weatdobtko /2Lr aS Signature(s): —�-- <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> ID (soil/water) — -- "�-- y/N Method <br /> (grab/comp) No- Volume Type <br /> shA F-G <br /> 1S' <br /> Tx—l �C _—_ <br /> , C —�4 za <br /> �— <br /> j �m� <br /> -- -- Spn— T111 r6,17 <br /> 1 5� /350 Qfiv./'/9.1 <br /> �-- cacti k i[ rZ <br /> S 1355 , roe,,. <br /> Custody Record <br /> Comments_ ----—_"' S I gnature/Date/T Ime <br /> � ------------------ Relinquished J�, �a5 q17/ �x. <br /> ,�.....--_ � wH.y <br /> _ __ _ __ _— d-- ———— . --- Received _ � L <br /> _. ._--.....-----_ Relinquished — ---- ---..._ — <br /> -----------------------_:..---_.--_---_--- Received _ — — <br /> 'I <br /> I <br /> i <br /> I <br />