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Chain-of-Custody Record F N D 4380 Date , 0 Page of <br /> Project No fy 3 ANALYSES REMARKS <br /> Samplers(Signature) o <br /> Additional Comments <br /> f/ if <br /> 00 a CV N M LO <br /> O ` <br /> 00 (D CO'O 'O ( �3 ( N 0 q c <br /> f0 <br /> m m 60 m w 41 m m 0 03 0 _ N O <br /> 2 2 2x 2 2 M o m t o m o <br /> Date Time Sample Number a d ¢� a �' m °a a <br /> w w we uJ w w w C7 a 01 r r � a u. or 0 z <br /> Go <br /> 1135 0 3-9 ? ' A <br /> x .45 j33 i' K FES <br /> 1 , <br /> E If <br /> xI <br /> i <br /> f , <br /> E � <br /> E a <br /> IA <br /> Laboratory Turnaround Time Results to <br /> Total No of containers <br /> Relinquished by(signature) Date Relingws dby( ig tura) O, hDj tq Relinquished by(signature) Date Method of Shipment <br /> �/t/t V-) 367 r 7 �`"VO <br /> Printed Name Printed Name Printed Name <br /> 3�i>< Time J(.j 1 1 � Time Time Laboratory Comments and Log No <br /> j ill <br /> Company 17;00 Company Company 1 �„t� c� _ 9 <br /> e-b M J�- ol., /'Orr Z X� <br /> RWvdya._ Date Received by Date Received by Date <br /> '[�� �� z kap, <br /> Printed Name Printed ame Printed Name <br /> Time Time Time 0eamaerix Consultanca <br /> "Ne (.� � �. iS 2444 Main Street 5u�te 295 <br /> Company - Company Comp n Fresrw CalifornEa 93721 2734 <br /> � ' , too (559)264 2535 <br /> L Im (559)264 7431 FAX <br /> M M <br />