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SAMPLING AND ANALYSIS MAIN OF CUSTODY RECORD i <br /> S CA PROJECT NO Of-9c) -00y 01 SAMPLE TYPE LABORATORY NO <br /> Sam to Intormalton Bottle InformaILab Intarrnation Chain of Custod Documentation <br /> sample ID Lab IDI Parameters No T Pres Lab PO is Sampler Date Recd B Date Comments Recd B Dale Comments <br /> spy-0��:s/ �v ��, 3 <br /> Soled By (Signature) Rel)nqulshad By. Date r Time- Relinquish Dat Time Relinquished By Date: Time <br /> r CJS t4tinrn 3 f`13 lboo <br /> EMCON Contac) /J R Iv Bv� 1e.3 Time y. t - Time. Received By Date. Time. <br /> MCON Associates, 1433 North Markel Boulevard, 7ramerild rJalliuma 95834 (916)928 3300 <br />