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CHAIN CS CUSTODY RECORD <br /> IB;tBOYA.TAN & ROSS, INC. (Page-of-) <br /> Environmental Scientists & EngiLneers PROJECT / TASK NO <br /> 1320 East Shaw Averwe, Suite 155 Fresno, CCA 93710 <br /> Tel, (200) 225-ISM Fax (2D9) 225..6)00 SAMPLER Printed <br /> SlgnaWre <br /> B+liths ANALYSIS REQUESTED TURNAROUND <br /> a) <br /> c ElRUSH ❑ HR <br /> Cd Cr m ❑ ROUTINE <br /> Atte PO # U c <br /> Report 80YAlIAN&ROSS, INC X O U NOTES <br /> 1320 EAST SHAW AVENUE,SUITE 155 ¢ o <br /> _FRESNO,CA 93710 <br /> C5 M <br /> Atte E E <br /> z REMARKS <br /> DATE TIME SAMPLE LAB � Preservation, Handling <br /> NO I D. NO or Observations <br /> ' (Soil, Water, Vapor, Other) Total No. of Containers <br /> SPECIAL INSTRUCTIONS <br /> RELINQUISHED TO SAMPLE RECEIPT- <br /> Printed <br /> ECEIPTPrinted Company ❑ Received in Good Condition <br /> Signature Date Time ❑ Samples Properly Cooled, Temp <br /> RECEIVED FROM ❑ Proper Containers <br /> Printed Company Method of Shipment <br /> Signature Date Tune <br /> RELINQUISHED BY Comments <br /> Printed Company <br /> Signature Date Time <br /> RECEIVED BY (LAB) <br /> Printed Company <br /> Signature Date Time <br /> DISTRIBUTION White - Return to B&R wl Reports Canary - Laboratory Pink - B&R Sampler <br /> Figure C-2 <br />