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KAPREALIAN ENGINEERING <br /> N C 0 11 V 0 Il A T E D <br /> CHAIN UI- C:USIODY <br /> SAMPLER �o r qtr?r SITE NAME Ti ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> Toe ?140C&1 ss �/ S7C9 < — <br /> WITNESSING AGENCY S Co C— PCI C; i c <br /> NO t P( 3 <br /> SAMPLE OF SAMPLING R E K A R K S <br /> ID NO DATE TIME SOIL W TT GR ➢ COMP CONT LOCAI ION <br /> ( 46 <br /> jAA Q) <br /> Rellnqulshjedlby (Signature) Date/Ilan e v d by (Signature) the following MUST BE co(rtsleted by the laboratory accepting snaples <br /> for analysis- <br /> i llnve all Sn7tes received for analysis leen stored In Ice? <br /> Rellr s ed y (Signature) Date/Ti eiyed by �tg y�fi e) ' e <br /> C (a- -'I-3 � � (/��� 2 Utll sanples remain refrigerated until analyzed? <br /> 1 If t S <br /> Ret vqu a by (Signature) Date/Ti Rec v y• ignature) 3 Did any sariptes received for analysis have head space? <br /> n N t' <br /> — Z%"9,3 Stb 4 Were samples in appropriate containers and properly packaged) <br /> elinqulslid i;� (Signature) Date/ Ime a ed ( gnnlur ) ft <br /> sigrrture Title Date <br /> 2101 tiimwCll I)rlvt SURL 40U <br /> C,Kuurrl Gildurni-,915211 <br /> Til 51U(,()1511%I 1 ,a Slnc�ntx112 <br />