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Date Recd: BC CHAIN lir CUSTODY � '7 �1 ` <br /> C1iPnt: cam` O t c� NO. L. I <br /> Sampler: Sample Type: Analysis Requested: <br /> Name: ��.)c� � G�c)rK Name: Water Other. a Y Y Y Y a <br /> to cn vt vt vt rn <br /> ecify)Address: Address: Soil (specify) <br /> o 0 0 o N N <br /> N4�- .4, b b 00 <br /> Attn: � �. ) _ nn Sludge N t'ri N oo x x <br /> � N 0 <br /> 00 00 0o d 0o v C7 C7 00 <br /> oil 0 0 0 N O CD O <br /> Lab# Description: 00 <br /> oterests n <br /> �j <br /> TK `>r' / — a- <br /> TK �I lei /ray 2u, 2212( < A0 <br /> x <br /> Relinquished By: Date: Time: Received By: Date: Time: Comments: <br /> Q, WL /z rd <br /> White: Retum to Customer with Report <br /> Yellow: BC Lab Copy <br />