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K xx H KAPREALIAN ENGINEERING, INC. <br /> C11ATN OF CUSTODY �1 f <br /> ISAMPL I SITE NAME b ADDRESS i At111 SES flQUESTED I TURN AROUND TIME ! <br /> f7 7) 1 t <br /> !-- _ _ I ! I I N l I { <br /> IYITNESSING AGENCY I �D 3 /We /��. I I I I h II f I I <br /> I I ! I ( � I I I I 12-E-6e/L/ I <br /> f 1 I I I I I IND. ! <br /> I SAMPLE I I I I I I I OF I SAMPLING I �I�j 1 {":4, IC, I f { ! R E <br /> iD 90 I DATE I TIME i SOIL IwATERIGRABICOMPICONT I LOCATION <br /> LL <br /> 1 1 112-- �c� I I � 1 K ng <br /> i <br /> I m�2 i i I ! + x + I z Lo - I $CI X I <br /> I '31 ,l <br /> I ! ! 1 { ! f l I I I I I I I I { <br /> I <br /> F <br /> I I I I I I I i I I I i i I I I I I <br /> I i I I I I I I I I I I I I I I I 1 <br /> IRelinquis try ( ignature) I Date/Time I Received by (Signature) �;��'j j The following MUST BE completed by the laboratory accepting samples i <br /> 1 r67 ! 2---3o— 51! for analysts. I <br /> 1 Have all samples received for analysis been stored in ice? <br /> IRelinquished try (Signature) I �D`��/TT L 14-�)I i 4 I e%ei Si ature) 1 I 1 <br /> 1 L I 1�1^✓� iti����,I / 12 Witt samples remain refrigerated until analyzed'► I <br /> (Relinquished by (Signature) I Date/Time I Received by. (Signature) 3. Did any samples received for analysis have head space's II <br /> 4 were samples in aWpriate containers and properly packaged) i <br /> {Relinquished by. (Signature) I Date/Time I Received by (Signature) <br /> I I I I I <br /> I I I I Signature i le Date I <br />