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1 <br /> J ��J <br /> KA/REALIAN ENGINEERING , <br /> I N C 0 R P 0 R A T EO <br /> µ ' CHAIN OF CUSTODY <br /> SAMPLER SITE NAME li ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> WITNESSING ACENCI' 30 � ; [I <br /> NO <br /> SAMPLE DF SAMPLING REMARK S <br /> 1D NO. DATE TIME SOIL HATER GRAB COMP CONT LOCATION <br /> 30\ D (52� <br /> Retinqut ed by: (S n tune) Date/Time ceived b Sign tur The following MUST BE completed by the laboratory accepting samples <br /> Lazz2 - 4 for analysts <br /> 1 Have all samples received for analysts been stored in ice? <br /> Relinquished (Signature) Date/Time Re eive by (Signature) <br /> 2 Will samples r to refrigerated until analyzed? <br /> Relinquished by- (Signature) Date/Time Received by (Signature) 3 Did any samptK r ceived for analysts have head space? <br /> 4 Were samples in aropriate containers and properly packaged? <br /> Relinquished by (Signature) Date/Time Received by (Signature) <br /> ignature Titl Date <br /> 2401 Stanwell 1)(ivt,Suite Ox) <br /> [OMunl (rlilunn19620 <br /> Tel 51000251M I as 5106870G112 <br />