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CHAIN OF CUSTODY AND SAMPLE I DENT ! F I CATION RECORD <br /> 2001 !� St.reet., Sui 1_e 900. Sacr'amen�CA, 95131 <br /> i,euERM West 16)"I'l <br /> --- —_ <br /> Page: x. of: <br /> Weather: only): <br /> No. of containers (this page <br /> Sampier(s): <br /> Signature(s): - <br /> EANIMSet Job No. L L I ' 1 Anaiy5e5 <br /> Preservative Icer5ampling <br /> Containers �,/ti� <br /> Sample Time Sample type ——_————— <br /> Method <br /> ID (5011/water) _— Vo1�me rYPe <br /> (grab/comp) N0- ;tit <br /> tti t,J Wu <br /> � � nL <br /> _~ Custody Record <br /> _ Signature/Date/Time <br /> Comments-== —r—_-------- Relinquished <br /> —_.�_..._—_-- ��` J �1 r•- ��.��-- <br /> ----_ --___— Received =— <br /> �— —_._------- _--- —�_-- _ -- Reltnqutshed _,---_ --_-----.-- <br /> ~" ~~r—.__,------ -....------------- Received -- <br />