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4.. <br /> KAPREALIAN ENGINEERING, INC. <br /> K .. <br /> CI[AIN OF- CUSTODY <br /> ISAMPLERI SITE NAME b ADDRESS I ANALYSES REOUESTED I TURN AROUND TIME: <br /> K /— I <br /> { I <br /> IVITNESSiNG AGENCY <br /> 1 <br /> I I l I ! I I INo. 1 I � I I 1 ! I I I e >Erl �lers I <br /> I SAMPLE ! I I I I I OF SAMPLING <br /> I I I I I I I { I I <br /> ID ND, I DATE I TIME I SOIL IuATERGR ICOMPICONT.I LOCATiOWI <br /> + i <br /> I a I ,2 Is��I I ,/ ! I ✓I 1 21 <br /> I ✓ I 1 ! I 1 ! 1 { <br /> 2,11 1 A I <br /> I <br /> ! /� 3 1 'i I I ✓ V ! ✓ ! I / l 1 J ! ! I ! 1 ! I 1 <br /> I <br /> I <br /> 1 /� ( 1 !r I { I ✓ l { /j f � I ! I I l I I I I <br /> I <br /> 71 <br /> I <br /> 1 0I I 1 1 1jI I S I I I I I I I I I ! <br /> J The }ollo++ing MUST aE completed by the laboratory accepting samples I <br /> IRet-inquish by: (Signature) I Date/Time r1 Received by: (signature) 1 <br /> for analysis: <br /> Have all samples received for analysis been stored in ice? I <br /> 1Retinquish (Signature) I Dale/Time I Received by: (Signature) I 1 <br /> I k I 12. Hilt saapies emain refrigerated until analyzed? <br /> 3. Did arty sampl received for analysis have head space? 1 <br /> (Relinquished by: (Signature) I Date/Time I Received by: (Signature) I 1� <br /> 1 I ! 14. Were samples in appropriate containers and property pacimaged? { <br /> (Relinquished try: (Signature) { Date/Time I Received by: -(Signature)` <br /> Signature T tit Datc { <br />