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CHAIN-OF-CUSTODY RECORD N° Date: Page of <br /> Project No.: ANALYSES <br /> REMARKS <br /> Samplers(Signatures): <br /> Additional Comments <br /> o $ o a o w m o <br /> c t r«c $ m @ m m <br /> g <br /> x x m m m <br /> Dafe Time Sem le Number w w w m w w a- IL f°n o g <br /> - -------------- - --- - - - <br /> ------------ - ------ --- - <br /> Turnaround time: Results to: - <br /> �" ._ Total No.of containers: <br /> Relinquished by(signature): Date: Relinquished by(signature): Date: Relinquished by(signature): Date: Method of Shipment: <br /> Printed Name: Pdnted Name: Printed Name: Laboratory Comments and Log No.: <br /> Time: Time: <br /> Time: <br /> Company: Company: Company: <br /> Received by(signature): Date: Received by(signature): Date: Received by(signature): Date: <br /> Printed Name: <br /> Printed Name: Printed Name: <br /> Time: Time: Time: <br /> Company: Company: Company: <br /> Fwms(PF).012b (fleWssd 12/&6) <br />