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t 'I <br /> CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST RSC <br /> s <br /> PROD.NO. PROJECT NAME , <br /> ANALYSIS TYPE REQUESTED <br /> Igo <br /> SAMPLERS:(Signature) cc Lu Q Z <br /> � - <br /> z a. <br /> I.D.NO. DATE TIME U STATION&LOCATION 0 a �� <br /> 01 REMARKS <br /> h1At <br /> i !; I LTH <br /> 4 <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK. <br /> MGR. <br /> Relinquished by: D tjt�lS� Time Received by: Relinquished Date Time Received by <br /> �1 <br /> Relinquished by: Date Time R b ved by Re nquished by: Date Time Received by: <br /> Z-I z-9>✓ i'r or <br /> Relinquished by: Date Time Received by La ratory, Date Time REMARKS(Shipping Related): <br /> 1710 MAIN STREET • ESCALON,CA 95320 9 (209) 838-3507 <br />