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COMPUCHEM Chain of CustodyR <br /> LABORATORIES Record CW ID: <br /> WESTERN DIVISIONM Date ^-9-q2, Page ( Of r <br /> PROJECT NAME ' �' t GR4+�i�- t oGC o- GUMS INORGANICS OTHER c, REMARKS <br /> PROJECT NO. L <br /> LU <br /> PROJECT CONTACT. T/M ! i1 H - p z t �� <br /> SAMPLERS (SIGN URE) a a p g oU �e.�r11 <br /> � LL o 0 o o o - = o LO . <br /> SAMPLERS w m � � b co � m v ¢ v Cr <br /> PRINTED NAME X /r+ i7r.) �u <br /> SAMPLE NO. DATE TIME LOCATION ~ m C° w cD a 4 W CD CY C] z <br /> 3s to -T-.p-q2- A C Am,40 Ix X I X <br />� - v <br /> 44 <br /> GS �kD <br /> s-SG. 9-��yL s3� AStanV se x �, <br /> O <br /> IN 00 C N r>'t3 N <br /> RE LIN DATE RECEIVED BY DATE RELINQUISHED BY DATE RECEIVED BY DATE TOTAL NUMBER <br /> 2 <br /> OF CONTAINERS <br /> Suture q y Signature Signature Signature METHOD OF SHIPMENT <br /> /✓� r �/►'FtT TIME TIME 1•t <br /> Pri ted Name TIME Printed Name TIME Printed Name Printed me ! 1✓ fiGI✓E r,r-p <br /> �"K S �►• u <br /> SPECIAL SHIPMENT HANDLING <br /> Company Comp y Company Company OR STORAGE REQUIREMENTS <br /> RELINQUISHED BY DATE RECEIVED IVED BY DATE RELINQUISHED BY DATE RECD BY (LABORATORY) DATE <br /> Signature 5" a Signature Si n i <br /> gS��V GitBIRT <br /> Printed Name -,TIME Printed Name TIME Printed Name TITIME <br /> Company Company Co y Company <br /> _ _ W N_ _ ulev= 8M meaCA 9e ( 23RL susMortM )ar7-' <br />