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[ [ [ [ [ [ [ [ [ [ f [ f [ c1 <br /> I EARTH TREATMENT SYSTEMS <br /> ENVIRONMENTAL CONSULTANTS A"i;6W turn-around <br /> CHAIN OF CUSTODY RECORD <br /> PROJECT NAME : <br /> ':�o ` Number of .� a <br /> SAMPLER (signature) : �� oa <br /> Containers/ �ra <br /> Type of <br /> Date Time Sample Location Sample <br /> pa° O <br /> Lab I.D. <br /> 2As ` LO 8 8 <br /> linquishe by : Date / Time Received by: Relinquished by : Date / Time Received by ; <br /> � ` Sas r' �/l <br /> Company: Z .,' Company: Company: Compan : <br /> Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by ; <br /> Company: Com an : Company : Com an : <br /> Relinquished by : Date Time Received by : Relinquished by : Date Time Received by : <br /> Company: Company Company: Com an <br /> NOTE: In preparing legal documents always use ink and signatures <br /> P.O. BOX 2242 (ono) 394-1041 mFRr.Fn ra ocean <br />