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Woodward-Clyde Co'nsultants <br /> 10370 Old Placerville Road,Suite 104 Chain of Custody Record <br /> Sacramento,CA 95827-2505 <br /> (916)368-0988 <br /> PROJECT NO. ANALYS <br /> R4_ <br /> Ul <br /> SAMPLERP:(Signature) "I <br /> REMARKS <br /> (Sample preservation, <br /> handling procedures,etc.) <br /> DATE TIME SAMPLE NUMBER <br /> E <br /> LU z <br /> ED LU UA <br /> IIAC x, <br /> 1 <br /> If 0G m w <br /> WeAd 6ao) <br /> _71S P W <br /> Lead <br /> fide <br /> � � Tp��-sem <br /> We <br /> ... .. ......... ... .. <br /> ..... . ...... <br /> .......... <br /> .......... .. ...... .. <br /> TOTAL <br /> NUMBER OF <br /> CONTAINERS <br /> RELINQUISHED BY: DATE/TIME RECEIVED BY: RELINQUISHED BY: DATE/TIME RECEIVED BY: <br /> (Signature) (Signature) (Signature) (Signature) <br /> 144-1 e. 00 <br /> METHOD OF SHIPMENT: SHIPPED BY: COURIER: RECEIVED FOR LAB BY. ,7TE/TIME <br /> (Signature) (Signature) (Signature) <br />