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K KAPREALIAN ENGINEERING* INC. <br /> CHAIN OF CUSTODY <br /> (SANPIE SITE HANE i ADDRESS I ANA SES &ISTED I TURN ARt]lAlO TIME' <br /> I <br /> I /C-7 <br /> I I4ITNESSING AGENCT <br /> No, I I II� I � I �1 � I i I <br /> I I I I ( I I I I � l 1 E 0 A I C 2 l <br /> I sANP�s I i I I I I I OF I SANPIrNc I �I I Ir `� I I I I I <br /> I ID No. I DATE I TIME I Solt Iwl1ERIGRADICO1PICONT.I tocaltloN I l�l� I �\I\ Is} <br /> I <br /> I I GU 21 r► I I I � I� I I �� � � I <br /> I ly I I I � 1y' I IsaI ! xlx I I I I + low ? z- � f <br /> I I tr 1 I 1 <br /> C <br /> I l I I I I I I I I I I 1 f I I I I <br /> I <br /> I I I ! I I I I I I I I I I I 1 f I <br /> I <br /> I I I I I l + l I I I I I ! I I I I <br /> I <br /> I I I I I I I I I I I I I I ! I I I <br /> f <br /> I I I I I I I I I I I I I I I I I I <br /> IRelinqulahed {Signature) I oate/TIme I Received by: {signature) I The following MUST BE completed by the laboratory accepting samples I <br /> far analysis: I <br /> sang <br /> Ott <br /> les received for analysis been stored in Ice? <br /> t. <br /> Have al <br /> IReli shed by: Ignature) I Dete/rime I Rece (signature) i I <br /> 2. will les remain refrigerated until analy:ed? <br /> I I /� /6I <br /> Date/Tina ei by- { } • 3. Did samples received for analysis have head spec*? I <br /> IRel ed/by• (Signature) I I I <br /> I i 2 /�I (�11) I ;. Were sanplet in appropriate containers and properly packaged? I <br /> IReliroWished by: (Signature) I Date/Time I te by: (Signature) <br /> + + <br /> Date <br /> Signature Title <br /> I <br />