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f a <br /> KAPREALIAN ENGINEERING, INC. <br /> K cljAzw of cusTonx <br /> TURN AROl1ND TIME. k <br /> i ANALYSES RCQLKSIED i I <br /> I SiTE NAME C ADDRESS I <br /> sAMVLERl�9 <br /> (WITNESSING AGENCY <br /> i I I i I I I I I <br /> It EPI A i <br /> OF SAMPLING <br /> I I I I <br /> I $AMPLEi Ii I jyyTERIGRAeIca+vicaNt.l LOCATION <br /> TIME SOIL <br /> 10 No. DATE <br /> k <br /> i I S I I I I k� tA'"KP�f ! t✓I ✓ I ���3 �� f� I <br /> I i l <br /> ��iiiZ'rl I i ✓ I �✓I � I I� i �l ✓14 II I�5 I I <br /> v1 i 1r i I ✓ I I I✓I_ 1 Er ' �I � - i <br /> � I ✓I ✓ I I k�� i I I <br /> '��� 1 II I i '� �— I i�kl 1 I! I !/ lr✓I 1 i �� l 1 <br /> I I 1� i i ✓ I I I� � k ✓1 L/I ! l �� k I I <br /> J1 Cr l ►i I i V ✓ � �r i ✓I � i I l I s 1 <br /> /� I )1 I I ✓ I I I� IIV <br /> k i ✓Ii/ i I I Jt I I I <br /> I I k k ✓ I I i i y i 41 ,tt15T BE crnpltted by the taboratory accepting saaPles <br /> t Sitynature) The foltomirg <br /> Well lived tr: T. for analysis: In Ice? I <br /> kRclinq+)shcd try. (signature) I � 1 <br /> � J �i'c•i LL.L' /v � r,+ T. Havx all ;anptea received <br /> for arsalysls Leen stared i <br /> 2. Will 6aap <br /> Date/Time I R ived by: (Signature} I lea r—Irt refrigerated until enatyzed? i <br /> IRelingpished bv: (Signature) <br /> k � ✓ <br /> 13. Did anY smples received for analysis have head space? <br /> ( I Received bY: (Signature) r <br /> DatelTime � rt ckagaf7 <br /> k <br /> iRetinquished by: (Signature) I I i {ate cmtainers vd pra4x Y Q" <br /> I L. Were' S_aaples in appy <br /> Received bY: (Signature) I r>�.� e I <br /> ature) I <br /> Date/Time k I Cate <br /> IRelSn4�i�hed 6y: (Sign I i + Stature) <br /> Title <br /> k <br /> — <br />