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� I>� � � i� � li � I' � � 1, � � ii• � i� � � <br /> Neg *global Environmental Geochemistry Chain of C*dy Record PO #: <br /> e--r)CA?-.5 _ Date: S r Page T Of <br /> Address: TEG Project#:_2O g13c 14 Outside Lab#: <br /> Phone: q r h g 3 FAX: Location: + 31. <br /> Client Project Project Manager: . Collector: A 2P I^J Date of Collection:--l3 q <br /> X@ to <br /> V o <br /> o � � <br /> o m Co <br /> N n m $ a <br /> _aU e � <br /> O t v O # <br /> poo pyo coh � _ co W m W ~ 'C J ! <br /> Sample Container Q a ¢ 'E 0. r _ m a� <br /> Sample t! Depth Time Type Type O O O b = m Field Notes <br /> r J . } Jan <br /> SS- <br /> 5 — 3 <br /> /r �► J <br /> i <br /> i <br /> Relinquished try: (signature) Date/Time Received�., nature ate I Time Total#of containers: Notes: <br /> fIt-stI)o Chain of Custody seals Y/NINA3 3 P «} Seals intact? YIf+UNA <br /> Relinquished by: ( ' nature} Date I Time Received by" } Date!Time Received good conditionloold &&,D <br /> Turn around time: <br /> Sample disposal Instructions: TEG Disposal($2 00 each Refum to client Pickup <br />