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CHAIN OF CUSTODY C,Ina 1122Q L`rossmea A <br /> venue: <br /> ... ....... <br /> .. <br /> = I ABOl4ATORY...: 17l l a . t su►te 2oo� 4tnnyvalb,ca 9aog4: <br /> ............... <br /> 745 1089. <br /> Turnaround.Time, aog r�o .. Atieutyont <br /> Project No. Site 44 <br /> ame and Address SaOp �Q .N2S 77 <br /> Analyses Requested •Per RWQCB Guidelines <br /> E'23005 Sam �d '5TOc Tv,- <br /> Sampler: (signature) 00 r /} r' Company No. « N <br /> of <br /> taina Remarks <br /> era <br /> 5,9 <br /> a x W W ut. W h Q'^ <br /> Sample No. Data Time � '� Location of Sample O� <br /> �y_ IV 2 �. <br /> s1 3/3 173 s� X <br /> SZ 3�3 <br /> 17 <br /> IQ ,� <br /> a <br /> Relinquished by: (signature). Date Time Received by: (signature) /l�C/Jct Company The following MUST be completed by the laboratory accepting <br /> 2J _ y i3 l A pica for analysis <br /> aA <br /> Rclinquishod by:(signature) Date Time Received/by: (signature) Company l) Have all samples received been stored on ice? <br /> 2) Did any VOA samples received have any head space?— <br /> Relinquished by: (signature) Date Tim* Received for LABORATORY by: (signature) 3) Wero samples in appropriate containers and packaged <br /> d <br /> properly? <br />