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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: 'v <br /> ETkr�G SEED •`� <br /> 14 <br /> SAMPLERS (signature) t�,b �P <br /> � Number Q i <br /> o fREMARKS <br /> Station <br /> Number Date Time Station Location Con- <br /> tainers <br /> MW-1 ��5 c/.15� jX X6 D S yi r � X laN�7oR1N� 9 G /3 S-4ivr / <br /> -/ L ��yNoJNi? <br /> MW 4!S 9'20 J <br /> 213 A"S-/P <br /> CLINICAL lA.6S Geo I�oN�r�rr <br /> RgIi�u hed by(signature). Date / Time Receive-byf(si t r�). Relinquished by(signature) Date / Time Received by (signature). <br /> Company r gene /1s/�3 T' <br /> Agency. av Ctuup�f or Agepcy: Company or Agency. Company or Agency: <br /> WHf 6NJ1do ,,, <br /> Relinquished by(signature). Date / Time Received by (signature): Relinquished by: Date / Time Received by (signature) <br /> Company or Agency Company or Agency. Company or Agency Company or Agency: <br /> Relinquished by(signature). Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency (signature) <br />