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S A M P L I N G R E P O R T / C H A I N - 0 F - C U S T O D Y <br /> Account Name : )..; 0( (�7'r� tJ !-tilt j 1 DATE C <br /> Station I .D. : . Account No. - j <br /> Rep. l ' ; J�;7 -- �f F l7'Z '7 �`�.. DAY( S ) M T W T VS S <br /> Ins : <br /> AUiQ PLEIR- INFORMATIO <br /> Sampler <br /> START COMPOSITE BOTTLE # ' S Sittings <br /> ( if un- <br /> SS# Date Time Bott # w/sample used usual ) <br /> CHAIN OF CUSTODY_ INFORMATION Collected <br /> by <br /> Initial <br /> Samp Samp # of Date <br /> Lab Number SS# Analyses Requested Type Mtrx Bott TiTe <br /> r <br /> Comments : / -� /-77 J <br /> Comments: <br /> Comments : <br /> Comments : <br /> Comments : <br /> Relinquished by t /Time Accepted by Date/Time <br /> Sample Type Codes: E=Hand Grab, F=Hand Grab Camp, G=Auto Grab, H=Autocomposite <br /> Sample Matrix Codes: Aqueous, SLudge, GW=Ground Water, Soil, PEtroleum, OTther <br />