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CHAIN-OF-CUSTODY RECORD N° Date: Page of <br /> REMARKS <br /> ANALYSES <br /> Project No.: ' <br /> N <br /> Samplers(Signatures): 0 0 0 0 0 Additional Comments <br /> OOco co 0 CY Nw 00 N C <br /> o Bco <br /> " o m 3� o <br /> L c � L rn v .k <br /> o m <br /> Sample Number w w w m w w <br /> TDaIeTime a. CLc5 N `o z' <br /> Turnaround time: Results to: Total No,of containers: <br /> Relinquished by(signature): Date: Relinquished by(signature): Date: Relinquished by(signature): Date: Method of Shipment: <br /> Laboratory Comments and Log No.: <br /> Printed Name: Printed Name: Printed Name: <br /> Time: Time: Time: <br /> Company: Company: Company: <br /> Received by(signature): Date: Received by(signature): Date: Received by(signature): Date: <br /> Printed Name: Printed Name: Printed Name: <br /> Time: Time: Time: <br /> Company: Company: Company: X <br /> GEOMATRIX <br /> Fc,,TFt'12b (Revised 12195) <br />