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s • • <br /> KAPREALIAN ENGINEERING, INC. <br /> K CRAILN OF CUSTODY <br /> ISAMV R - I SITE NAME S ADDRESS I ANALYSES REaa>Es� I TURaa ARO[111D TIME I <br /> I Z4 <br /> if s'- I I ql I I • V I <br /> I I �iL I <br /> Iii T SSiNG I �aas��'"" '`G I �4i Q 1 Ir I �I 1 1 I <br /> I <br /> 14 1� I tl I I I <br /> I S►1L D�� I I� I ~ Iii I j I I I I <br /> I ! <br /> GRAB wa I I= it I ! I ! <br /> I I I SAMPLIkG la I Ip I I I I 2ENAt11S I <br /> I <br /> SAMPLE I I I I I I I l i <br /> I TD NO I DATE I TIME I SOIL IwATERlCW ICOHT I LOUITIoN i �l �I I I I I I <br /> i 101 ! "l+'! I `— I I I 11�•�.�c.—R"N— <br /> I I 1 I f ! f I I I I I I I I I I <br /> I <br /> ! <br /> I I I 1 I I I I I I t I I I i I I <br /> I <br /> f <br /> I <br /> I I I I I I I I 1 1 1 I I I I I i <br /> I <br /> I ! 1 I I 1 1 I 1 I I I I I I 1 I <br /> I <br /> Zhed by: gnatura) I Date/T� IReceived by: (Sigature) The foltouang MUST BE carpleted by the laboratory mcceptanp samplesfor analysis:1. have all samples received for analysis been stored in ice? I <br /> IRelimpished by: (Signature) I Date/Time I Received by: (Signature) S4i <br /> I I I <br /> 2. Ytll samples resin refrtgered until analyzed? 1 <br /> I <br /> IReltnquished by (Sigtature) I Date/lime I Received by: (Signature) 3. Did arty samples received for lysis have head space? I <br /> 1 _ I I ' ;. here samples in appropriate containers and properly pectageM I <br /> aRetir� <br /> ished by: (Signature) I Date/fiate I Received by: (Signature} I <br /> ., <br /> `��� I 1,70 <br /> Stgnsture 7� le ate I <br />