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....n.me•.�..`�iwr.�.irar.�assa�....d <br /> WHI' Environmental Consuitanu, Inc <br /> Post Office Box 6729 <br /> CRAM CUSTODY RECORD Modesto, CA 95355 6729 <br /> CHA <br /> 1 (209) 579 8138 <br /> PROJECT MAf1E <br />' SAMPLERS (signature) o <br /> Humber 'F�r <br /> or R1 MARKS <br /> Station -- Can- <br /> Number bate flee 5tation tocatloo talners <br /> Relinquished by( <br /> signature) pate / iliac Pectivcd by (signature) Rellnqulsned by{signature) DaLe / Tine Received by {signature) <br /> Company or Agency (ompany Or Pgency Lompany of Agency Company Or Agency <br /> Rellnquished by{signature) Date ! fine Rtceived by {sign►t.re) Relinq.lsmed bJ prte f Tirc Received by (signature) <br /> Company or Agency umptny or Agency Company or ligancy Company or Agency <br /> Relinquished by(signature, Uate r Sime RlCe)rtd for taboratory by Date / lime Atmarkst'hipping Information <br /> Conpany or Agency (signature) —T <br />' Appendix C <br /> Clain of Custody <br />' (Typical) <br /> k P O Hoa <br /> 376729 Modeao CA 931$7-6729 <br />