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4 <br /> WH <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-1.5729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> r-- <br /> h !� <br /> SAMPLERS (signature) Humber �Va <br /> of �� � � REMARKSStationCL <br /> � <br /> Number Date Time Station Location Con- <br /> tai Hers {�} <br /> mW 3-5 3- ;tj Y t{&,trw, <br /> o:j �� cur r1116 re 5 <br /> Mfv- Z rf 0 iI r ;f_��l l <br /> M W-3"� r/ t q !r 1 �' �� Al u`rs—r <br /> �IW 3` fr l f-- �1 �� f (ll' <br /> i <br /> I <br /> Relinquyed sig ature)• Date / Time Re ed y si r Reli s d ( Date / Time R v gnature <br /> 70• 3-2 2- -� 3� 5'S �zz qtr <br /> Company Ar cy. •�5 0e Compo y yr g n Cvmpan ar A e I z r o� e�` / /p; AW <br /> Relinquished by(signature): Date / Time Received by (signature): Relinquished by: Date / Time Receive 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 />