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L F-1 (7—) <br /> �F <br /> WHF Environmental Consultants, Inc. <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> rx!s <br /> SAMPLERS (signature) <br /> Number <br /> Station of Q REMARKS <br /> Number Date Time o M Station Location Con' <br /> tainers 1 <br /> w� s <br /> K 2 (A) CA., 7- '.j.j o <br /> W Z 5 c X <br /> Aff- Wa.Z 5- <br /> w 14 CL— <br /> w <br /> Lf x <br /> Re i VAy. <br /> ature): Date / Time Re c ived by (signat re): Relinquished by(signature): Date / Time Received by (signature): <br /> �_ <br /> n o om��p++a��-ny or Agency: Company or Agency: <br /> Company or Agency: <br /> 14e inquishgd by(s gnature): Date / Time *Iyqor <br /> ignature : Relin uished b <br /> ` j .�. q Y� Date / Time Received by (signature): <br /> o_qpan or Agency: _ _�'� Agency: Company or Agency:1yt/L f I g y: Company or Agency: <br /> RY qui hed, by(signature): Date Time Received for Laboratory by: Date / Time Remarks/Shipping Information <br /> y or Agency: (signature) G1� <br />