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r, t <br /> r`L _ <br /> l <br /> CHAIN OF CUSTODY RECORD <br /> BC LOG NO. <br /> Client name I <br /> Job number <br /> [J Analysos requlred <br /> YroiaCe name <br /> Project manager ! <br /> � <br /> Sample Dale Time Co�its -6 <br /> number sampled sampled a Semple description number <br /> Grab contelnen ij �' RemarScr <br /> 1r <br /> =LEE <br /> ra { <br /> — <br /> G <br /> Signature Company <br /> Dole Time <br /> Rlfinqufrhed by <br /> Retained by <br /> R'siinquished by i <br /> Recflvad by <br /> Re1111quf6ed by <br /> R@esivtd by <br /> BROWN AND CALDWELL Analytical Laboratories <br /> Not@: Sampler aro discarded :ID days after results era reported <br /> ❑1255 Parelf Strel, `meryvlife CA 94609 MIS).426.2200 <br /> less other arrangements are made. <br /> Q SOU <br /> :nue,( lane, )31 61 ordQue rmplei will be returned to clltnt ur dltpased <br /> at c•.....:expo,_. . <br /> _ F <br /> i <br /> x� <br /> II <br /> y. <br />