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K KAPREALIAN ENGiINEERING, INC. <br /> CHAIN OF CUSTODY <br /> ISAMPLER I SITE HARE & ADDDESS i ANALYSES REQUESTED I TURN AROUND TIME. I <br /> I <br /> sf o C <br /> IWITNESSING AGENCY ! I I I I ! I <br /> I I ! l I I ! I NO <br /> SAMPLEI I I ( I _I I OF I SAMPLING I I I I I I I I R E M A R K S I <br /> I 1D NO I DATE I TIME I SOIL � 41� 01COMPICONT I LOCATION <br /> I j�G,r- IC�zzl l�i`'� 1 I I I 111`l��,fd�r �J�D I ✓ I ✓ I I <br /> E <br /> I m1,.1 1 2- 1 I i i I I I I �D <br /> I�w - <br /> I I I k .� I I I 2- ! .� ti I ✓ I <br /> I I I ZI ! O 62 � I <br /> -----i----I 1 <br /> ! <br /> I I 1 I I 1 1 1 I i I I I I I i I 1 <br /> I I i I I I i t f I I I l I I I I I <br /> I I I I I f l i I I I I I I I I I i <br /> I I I I I l I I I <br /> I <br /> IReIinquished by (Signa 'ure} ID?te/Time I Received by (Signature) I The iollouing MUST BE completed by the laboratory accepting samples I <br /> 1 / I 1 /� ' 1 for analysis <br /> I it em �� + I Have all sarrples received for analysis been stored in Ice? I <br /> IRetinquished by (Signature) I Date/Time I Received by. .Signature) y I <br /> ! I I ] 2. Will samples remain refrigerated until analyzed? 1 <br /> (Relinquished by (Signature) ( Date/Time 1 Received by (.)ignature) J 3 Did any samples received for analysis have head space? I <br /> { 4 Were samples In appropriate containers and properly packaged? 1 <br /> IRelinqjished by (Signature) I Date/Time I Received by (Signature) I e% <br /> I I I Signature Title Date I <br />