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W H F, INC. L 7 <br /> P. 0. BOX 427 <br /> OdlKDAlE, CA 95361 <br /> %iF WHF Environmental Consultants, Inc. <br /> CHAIN OF CUSTODY RECORD M>?de-Ae' G4-935=6Z29.- <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> -A&W daka <br /> SAMPLERS (signature) c a <br /> Number Qw <br /> ti� REMARKS <br /> dab of <br /> Station <br /> Number Date Time v fa Station Location Con- <br /> tainers <br /> iq3 <br /> 200 n1 1-0 <br /> x <br /> + i3 ,� voc 5 <br /> 3 11:30 <br /> 41 -13 �z:yaw� 3 I- 4.Qe k <br /> i 6 <br /> 1.3,00 Q L �- 41 <br /> ReJ�gyi3 d by re}: Dae / Tim ve by (signature}: Rel in i hed by{ {gryaxure}: Date / Time Rece'ved by nature}: <br /> C�I// f% U <br /> Com an or Agency: Company or A enty: Company or Agency: 12 ty I mpany or genc'�cy: <br /> Company » y i -1 W 95 <br /> ,I <br />--_- — Reliqui (signature): Date / Time Received by (signature):_— Relinquished by: — Date / Time Received by (signature): — <br /> 62�1�=— <br /> p or g" ey`:f /�-' Company or Agency: Company or Agency: Company or Agency: <br /> cid /Y/J <br /> Relinquished by(signature): Date / Time IReceived for Laboratory by: Date j Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br />