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[W:H F <br /> WHF Environmental Consultants, Inc <br /> # Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME. f Ll l'/�'7 j r1r� GC 1�5 tl <br /> yD <br /> SAMPLERS (signatyre) <br /> Number Qc Q�p (, <br /> !f4�t�.:• � � ��c-�, � of �� �. ^��� REMARKS <br /> Station ACon- <br /> tainers <br /> Number Date Time n g L Station Location Con- r ^� <br /> tamers lJ <br /> T <br /> QrNi 1 1 =i 1 Cj1' 1 <br /> Relinq lshed by(signature) Date f Time Receive by (signature): Rl" Inquished by(signature) Date / Time Received by (signature). <br /> � Cr <br /> Camparny or Agency ,� Lompany or-A95rycy: 3l' Company or Agency. Company or Agency. <br /> Rellnqu:sned by(signature). Date f Time Received by (signature). Relinquished by Date / Time Received by (signature)* <br /> Company or Agency Company or Agency. Company or Agency Company or Agency. <br /> Relinquished by(signature) Date / Time Received for laboratory by Date / Time Remarks/Shipping Information <br /> Lompany or Agency (signature) <br />