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K KAPREALIAN ENGINEERING, INC. <br /> CRAIN OF CUSTODY I /1 <br /> JOlI ESTED I I—� <br /> TURN AROUND TIME: <br /> SAMRI SITE 6 ADDRESS ANASES <br /> A/%7 ) VA l ,t—/ <br /> (WITNESSING AGENCY Sig / lC <br /> I I 12,E-6 &e- I <br /> I I I I I I I IND. ( I Il IIV� <br /> I E M A R c <br /> SAMPLE I I I I I I I OF I SAMPLING I QI s I <br /> 10 No. I DATE I TIME I SOIL IWATERIGRAB ILOIOICONT.I <br /> LOCATION I <br /> lUSI 1�2 �d I I � I X I I Ing <br /> X31 I I I xlxI I Irl I XI )( I I I I I I Il (p2 <br /> I <br /> I X I }C I I I I I I l l 77 <br /> I m I I I I I I I I I I I I I I I I l <br /> I <br /> I I I I I I I I I I I I I I I I I i <br /> I <br /> I I I I I I I I I I I I I I I I I l <br /> I <br /> F I I I I I I I I I <br /> l I I I I I I I I I I I I I I I I I <br /> ` The following MUST BE completed by the laboratory accepting sa�ples l <br /> (Rel irgtis d by: ( ignature) I Dale/Time I Received try: (Signature) �-(,'�G <br /> ( c _ for analysis: <br /> I r� I i2-3a- 7�I K, I 1. Have all sa,tples received for analysis been stored in ice? <br /> I— <br /> I <br /> IReliished try. (Signature) I IlD/Sp/dime I ecet <br /> rga �((Sipna[ure) I z Will smples rem in refrigerated until analyzed? <br /> /1C <br /> a � x� 1�rl�l <br /> IRetirguished by: (Signature) I nate/Time I Received by: (Signature) 3. Did any swiples received for analysis have head space? <br /> � v i <br /> 4. Were samples in a priate containers and properly packaged? <br /> IRetirKpiished by: (Signature) l Date/Time I Received by: (Signature) <br /> I i I I Signature i to Date —J <br />