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AWGERAGHTY CHAIN-OF-CUSTODY RECORD Page,-, / <br /> 'A V& MILLER, INC. Laboratory Task Order Na_ <br /> AWRnHranmental Services <br /> SAMPLE BATTLE 1 CONTAINER DESCRIPTION <br /> Project Number . -C�ulN I 0 L...._�— <br /> Project Local'o * 1kcLL1All-N <br /> Samplers)/Affiliation <br /> — j <br /> ' DateMrno f0. goo v� �� 1' Z TOTAL <br /> SAMPLE IDENTITY Code Sampled Lab ID <br /> W - t ' <br /> I � } <br /> M�1- <br /> LAI D <br /> '0 I <br /> SAW <br /> C Total No ol Bottles/ <br /> Sample Code: L a Liquid; S = Solid; A Air <br /> ' Containers <br /> Date--T+�e Seal Intact? <br /> t _ . Organization: — ] �U- )No NIA <br /> Relinquished bq:="� Date�� 1 Zul_g�[ime._ . <br /> Received by: <br /> • - ,._ -f. Organization: �• <br /> ,f • . '.L"•. ,.�� Organization l�'�r �-�tC��a-� _ Date tU � 7�� ---Time � � U Seal Intact? <br /> Yes Na NIA <br /> Relinquished by:_— �"r_..4 = iDate___ 1;1_�Time — <br /> Receitied. by: Organization: <br /> Special InstructionstRemarks: <br /> Cl Lab'COurier 0 Other ____ .. <br />