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t �§ <br /> nM • .vw 9 �:n <br /> CHAIN OF CUSTODY RECORD � � <br /> I Cfianl name ~`_ - ✓ BC Log- N umber`...... 3 7 <br /> i t <br /> lob aymbel['f -- <br /> Projeel name 'r���^�-�----- _ S�/`� - Analytes required <br /> P(0)CCI manager <br /> rr Ph,� Samplerlsl o� <br /> iTvpe FC`p4 <br /> Semple dale - Time.' Composite O tib ` <br /> numbor sampled 3empfedbampla description umbar <br /> or N <br /> o f <br /> i <br /> 1 Grab - Containers Remarks <br /> lia to 12:05 _._.. T <br /> 1° <br /> I _ <br /> nk, <br /> I <br /> I �s <br /> i <br /> I <br /> i <br /> Signature <br /> Relinquished by Company Oett <br /> Tim t <br /> 70 <br /> Recalved by � jd� /O <br /> .a <br /> Relinquished by c9/ <br /> Received by - <br /> Relinqulfhad-by <br /> Atceived by I <br /> I <br /> BROWN ANp CALDWELL Anstylical Laboratories �� <br /> Note. Samples are ziAtarded 30 days aller results are reported <br /> I❑t 1255 Poivetl Street, EmerywFle, CA 94608 (415) 428.2700 <br /> t_f <br /> 371 South Fair Oaks Avenue,Pasadene,CA 411p5 {2131 6814655 unless Other arrangements ora mads,Hazardous samptWwtll be returned to client or disposed t <br /> of at client expense. <br /> I <br /> i <br /> i <br />