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K KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> I ANALYSES REMSTED I TURN AROLAID TIME: <br /> IsAMPLER SITE NAME L ADDRESS <br /> I I V 110 / �aa�r' 1 Al 1 I I I I ! e <br /> IWITNESSING AGENCY , 601 r Wleme ff �n I IOr r I I I I I I <br /> I I I 1 I I ( I , SAMPLING I 0.I I I I I ! I ! E 1t r1 R k <br /> SAMPLE of s I <br /> I I 1 <br /> (D No. , DATE I TIME I SOIL JUATER1GR401COMPICONT.I LOCATION <br /> I 1,1 y Il 70 91 MI P I i I <br /> 'See a /,rTD <br /> 4e <br /> I � �� I 1 ✓ I I ✓I I I M 1 1 I I I I /007 I <br /> I <br /> 1 9,S 1 I v k ISI 1 1 i I I ! I I I / DO �i I <br /> i <br /> r <br /> I x'!- !01 +l I i � l ISI I � I I I I I I I I I tUt3 <br /> `Q ` <br /> IRelirvqufshed by: (SJ lure) , DZ/'//zo <br /> ime , Retei.ed by: ISi tun I The following MUST 8E completed by the laboratory accepting samples 1 <br /> I � , for analysis: I <br /> --.�� 1. Nave *It samples recei for analysis been stored in ice? <br /> 1Relinquished by: (Slgnature) I Date/Time { Rece':,d by: (Signature) { <br /> I I 12. Will samples remiein rated until analyzed? , <br /> _ I <br /> (Relinquished by: (Signature) , Date/Time , Received by: (Signature) 3. Did any samples received for analysis have head specel , <br /> Were samples i ppropriete containers and properly packaged? <br /> ,Relinquished by: (Signature) , Date/Time 1 Rece;,:d by: (Signature) { <br /> I I I { L I <br /> I I I I ignaturt title Date , <br />