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i <br /> KAPREALIAN ENGiNEERINGs INC. <br /> i <br /> CHAIN OF CUSTODY <br /> I SITE MAKE i ADDRESS I ANALYSES REOUESTED I TURN AMIND TIME <br /> "P,�J) 1 <br /> I <br /> I S S 54 Z 1 I I I I I I 2¢ 1 <br /> ITMESSING AGENCY I �I � I I I I <br /> 'a} I <br /> 3 <br /> I <br /> I ! I I I I I Mo• <br /> i SAMPLING Of ! ! �?I I I i ( R E M A R X S { <br /> i sAHPLE I I i 1 I I I I I� <br /> I ID N0. I DATE I TIME I SOIL IYATERIGRASIcd�1 law I LOCATION �� vi I f I f <br /> I I'Z/4/ I 1 I I r� I I �,PQA, rt O/)W e <br /> I ZC,7 1 1 ! vi I I j l It,,1 4 <br /> ! <br /> J._ I I i I ! <br /> I <br /> 1�,�,.t 8� I '� I I S I I .rL I j I I e,�l- �+- •---E- I I I I i <br /> I I I I I I I I I I I 1 1 I l I I I <br /> I <br /> I I I I I I I I ! I I I I I 1 I I 1 <br /> 4 <br /> IReli i ( ture) I„ Date/Tillie I Received by: (Signature) � The following MUST K ccopleted by the laboratory accepting sanples <br /> for analysis: 1 <br /> Z-� T. Have all saaples re eived for analysis been stored in ice? I <br /> IRelinWished by. (Signature) I Date/Time I Received by. (Signature) I f <br /> I I 1 2. wilt sanptes remain gefrtgerated until anatyzedl i <br /> I <br /> IReltnq,ished by: (Signature) I Date/Time I Received by: (Signature) 3. Did any sanples receiad for analysis have head space? i <br /> I i I 1 I <br /> 4. were saaples in appropriate containers and property packaged' I <br /> IltetirWished by- (Signature) I Oate Tire I Received by: (Signature) 1 <br /> I I ff I I f — I <br /> 1 \v (,, I "� 1 Stgr+ature the atc } <br /> l d + l <br /> i <br />