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Chain-of Custody Number: <br /> SECOR Chain-of Custody Record CooEer 0.0°C <br /> Field Office: a 7 7 Additional documents are attached,and are a part of this Record. <br /> Address: 4 <br /> Job Name: /? B - ) <br /> � 4sz � <br /> is �� Df•'�. Location: <br /> q � <br /> 474 <br /> Project# Task# -�� Analysis Request <br /> Project Manager—.12p, ems t <br /> Laboratory <br /> W <br /> Turnaround Time f" ai _ b <br /> Sampler's Na y `° <br /> Sam ' <br /> m <br /> P o m do mo Doo d aoci m x `o <br /> Samplers Signature ,X L0 3:t2 E a m s o e <br /> p�� 1� ` a _ <br /> �7C7{ IH ID <br /> U r <br /> m 2 <br /> Time x m. m m aaa3 ° a Instructions <br /> M 4V S /� -7 <br /> i <br /> i <br /> Special Instruction <br /> sJComm nt <br /> s: <br /> Reli <br /> n u' <br /> f5 <br /> by: <br /> Sam e R <br /> ecei <br /> Sig Total no.of containers: f2 <br /> Print Print Chain of custody seals <br /> �J Company Company <br /> Time c d I�at@ 1 s' Time Date Recd in good condition/cold: <br /> Conforms to record <br /> Relinquished by: Recei� y: tient: LGA <br /> Sign �' . Sign. e <br /> Print • Print i? Client Contact' x <br /> Company _ G J?Z 'empa <br /> ny— <br /> L <br /> Time_LU'_„ pati Time 11995 Date 49 0) <br /> Client Phone:` <br /> sECOR cUSrrEa rw alae <br /> y <br /> ,: Date: <br />