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K KAPREALIAN ENGINEERING, INC, <br /> CHAIN OF CUSTODY <br /> ISAMPL I SITE MAMUR <br /> E Z ADDRESS I ANALYSES REQUESTED i TM AROUND I I K I <br /> i I <br /> Id. I I I I I I I I I <br /> IYITNESSiNc AGENCY I 7303 a-0,0, <br /> I I I -41 I I I I I I <br /> I I I I j I I I fl. l SAWLING IJ o i I QI I I I I e N Ac s I <br /> ( SAiiPIE I I I <br /> DATE I TiME I SOiL [WATERIGRABICOWICOMT.I LOCATION <br /> t l i <br /> I S k!4•(3 77c Ce <br /> cel I / I •- "' 1i.. 1 Y+' I I I I <br /> I <br /> I I I I I i I I I I 4 I I I 1 I I I <br /> 1 <br /> i <br /> I i I I I I I I I I I I I I I l i i <br /> I <br /> t <br /> I <br /> IRe1i is by• i ture)i I Dste/Tin+e I Received by: (Signature) The following MUST BE completed by the laboratory accepting SaPPles i <br /> I / C11CL �I { t for analysis: I <br /> C. <br /> t-%-. � <br /> � + w� `ALI-, 1. Ma" all samples received for analirsis been stored in ice? I <br /> IRelinquished by: (Signature) I Date/Time I Received by (Signature) E4I <br /> ( I I 12. Will saiiples remin qrigersted until ansllnecP I <br /> I <br /> I11elinquished by: (Sig►ature) I Date/Time I Received by- (Signature) 3. Did any saWles rete for analysis here head space? I <br /> i i I I <br /> were samples in appropriate containers and properly packaged" I <br /> e4»s (Signature) ; [ �rt�/Time I Received by: (Signature) i I <br /> r11 1 <br /> �� I 1Z. • � e 4 11��^�� V`� � Signature 1 Wle. bate i <br /> i i <br />