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�. L:mi <br /> �■ �■ wee �� �e <br /> P <br /> WHF Environmental Consultants, Inc 3 <br /> Post Office Box 6729 <br /> j GAIN OF CUSTODY RECORDModesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: A'riw'r ' ce CermfM-�7 <br /> ly.25N <br /> �y <br /> 5 1jN�jmD <br /> SAMPLERS (signature) Number l� qoJ <br /> of q0 ► b REMARKS <br /> Station RA"`5tir. <br /> Number Date Time b Station Location tamers b �� <br /> c� <br /> nofe I1067y' On <br /> W-q 3 _2 't <br /> i <br /> ReliIn signature)- Date / Time Received by (signature): Relinquished by(signature) Date / Time Received by (signature). <br /> VAI <br /> Compan r Ven Y. 2� Company or Agency: Company or Agency- Company or Agency. <br /> 43 a <br /> Relinquished by(signature): Date ! Time Received by (signature): Relinquished by: Date / Time Received by (signature)- <br /> i <br /> Company or Agency Company or Agency: Company or Agency. Company or Agency: <br /> i <br /> i <br /> Relinquished by(signature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br />