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�a hal<. _l r r-:yam `L <br /> e. 1 3l <br /> Pers r f ' r• �. r r .} r <br /> CHAIN OF CUSTODY RECORD <br /> - .aent name. BC Lop Number <br /> Job number <br /> Project no . 3a� Analyses required <br /> 3 <br /> Project maneper, j <br /> Sampler(s) <br /> T aa`A <br /> Sample Oste { Time Composite S Ei <br /> F number eanpted sampled « Semple des:ription Number <br /> F Grab containers <br /> Remarlri <br /> L a 'uS <br /> k <br /> y: <br /> 11 <br /> i 3 <br /> SISnature <br /> } <br /> L_ <br /> nelln <br /> Y Dase <br /> qulahed <br /> by I Compan Time <br /> Raceived by <br /> d <br /> Relinquished by Z,, <br /> Rerelved l.r. <br /> R811nqulshed by <br /> - a <br /> Received by <br /> 13ROWN AND CALDWELL Analytical Laboratories <br /> re <br /> er wlts We reported <br /> ❑1265 Powell 5trlwl,Emeryv t!e,CA 94608 (415) R2&2300 Note: Samples are discarded 30 days aftunless other amnaements are nude, <br /> 379 South FNr'Oaks Avenue,Pasadena, CA 91105 !2131 6814655 Hazardous semp;es will be returned ro client or disposed <br /> t-i 1 hof at client expanse. <br /> .. �... <br /> . R <br /> 1 � <br /> s <br /> I <br />