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Woodward-Clyde Consultants �+ <br /> 500 12th Street, Suite 100, Oakland, CA 94607-4041 Cain of Custody Record <br /> (415) 893.3600 <br /> PROJECT NO. ANALYS <br /> 4011 ,E a <br /> SAMPLE <br /> cS REMARKS <br /> S ; `o (Sample preservation, <br /> 2 g handling procedures,etc.) <br /> DATE TIME SAMPLE NUMBER <br /> 4 W Wt 2 <br /> Ce r/ tPsul/s <br /> ID _ 3 <br /> I I X Y, s yr <br /> i nlrrl a�vxr��j <br /> t ; <br /> II i - <br /> ( <br /> I � I <br /> 3 <br /> ) S <br /> I � 3 <br /> 1 i <br /> t <br /> t <br /> i 1 <br /> ) ( 1 <br /> F <br /> f <br /> s' <br /> I <br /> i <br /> 1 <br /> s <br /> ! 1 <br /> i <br /> ) <br /> TOTAL <br /> NUMBER OF <br /> CONTAINERS <br /> RELINQUISHED BY: DATE/TIME RECENED BY: RELINQUISHED BY: DATE/TIME RECEIVED BY: <br /> (Signet ) _ (Signature) (Signature) S nature <br /> ( b > <br /> IS2� 30 /T <br /> M OD OFSrIPMENT:' I_ SHIPPED BY: COURIER: RECEIVED FOR LAB BY: DATE/TIME <br /> D(lol��'n Il mlyt-e/� (Signature) (Signature) (Signature) <br />