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ItAPREA <br /> LIAN ENGMEERING, INC. <br />�42r <br /> C11AIN OF CUSTODY <br /> SITE NAI4E a ADDRESS I ANALYSES REQUESTED I TURN AROUND TIME' I <br /> f <br /> iSAMPLER tin O C C?/ i l l <br /> j Iu1TNESSING AGENCY 1 7343 P,-C'�4�C. <br /> Ll <br /> I I I I I I I N0. I I I I I — I I I I tENAIt. tS 1 <br /> I SAMPLE I I I 1 I I I Of I SAMPLING I I l F.5I o 1 I I I <br /> I ID NO. ( DATE I TIME I SOIL Ai GRAS COMPItONT.I LOCATION11,� I 1 1 �� <br /> Ngo... �.it.Cl I >/ I ✓ { r ( ✓ PreSee&e-e1 I <br /> I MtJ- S 13�z6/ar 11Z :4�o I I 't I I 11 Mh���• U <br /> 1 3:0 I <br /> i M w-, I '{ I I I i! I I 1 2 1 1 <br /> + I V I I I 1 1 9 <br /> 11 I '� I ✓ I 121 old 1 <br /> 1 1 1 1 1 1 1 1 1 <br /> I I I I I I i t I I <br /> I I I I I I I I I I <br /> I I I I 1 1 1 1 I <br /> I I 1 1 i 1 1 1 I <br /> I I I I I 1 1 1 1 1 <br /> I I 1 I I 1 1 1 I <br /> I i l 1 1 1 1 1 1 <br /> ignature} ! The following MUST BE completed by the laboratory accepting samples <br /> IRelinqulshed by: (Signature) I Daae/TiIlie%w` I �lece �S 1 <br /> I ' ., 13/2`�q/ 1�"' �I � for anatysis. <br /> Have all samples received for analysts been stored in Ices <br /> �S I <br /> IRetinquished by: (Signature) I Date/TimeI Received by (Signature) <br /> I I I 2. Witt samples remain refrigerated until analyzed? <br /> IRelirx#utshed by- {Signature) I D to/1i I elved ( nature) 3 Did a samples received for analysts have heed spaces <br /> I <br /> I I 27 I �t.►�.e� 1 " <br /> 4. dere samples in appropriate containers and property patkaged7 <br /> (Relinquished by: (Signature) Date/Time I R clued by (signature) <br /> 1 1 , <br /> Date <br /> Signature Title <br />