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CHAT N OF CUSTODY AND SAMPLE I DENT I F I CAT I ON ( <br /> RECORD X55 7766 <br /> ERM-West 2565 Sunrise Blvd., Suite 210, Rancho Cordova, CA,, <br /> 95742-653 , <br /> receiving laboratory: <br /> Tent, - �� Page: of: Anlab Analytical Lab <br /> Atchison, Topeka and Date: L �0 1914 S Street <br /> anta Fe Railway Co. Weather: Sacramento, CA 95814 <br /> 710 South Eastern Ave No. of containers (thl/s page only): <br /> os Angeles, CA 90040 Sampler(s): w_ � ,� � � (916) 447--2946 <br /> ERM-West Job No.653b <br /> Signature(s): ---- �-� <br /> — <br /> Containers Preservative Ice 5ampitng <br /> Mzalyses <br /> SMpie Time Sample type —— ^. .Y/t} i-tethad <br /> iQ (Sail/water) "-' <br /> (grab/comp) No. Volume TYPe <br /> "Y6 mAL <br /> Custody Record <br /> -.----------- signature/bate/Time <br /> —_.-- ---.— .------- -- Relinquished- �,%��.�.�_—:t —Z�-L. <br /> ---__--^^ <br /> ._--------------------------._—.---- Received —"-- _——_ —_ ._--- <br /> ~------.-------'�__.._—___r_.—____.—_,.._w—_ Re},;tqutshed <br /> _----- -- ----- Received _,.t,�—,Z�(�r.... <br /> ---------__ _ ____._ 7 ��L� <br />