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ftF Imb <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> SAMPLERS (signature) <br /> Humber r /` <br /> of i_ r� REKWS <br /> Station `l[�� twn— <br /> Number Con- <br /> ate Time s $_ Station Location tainers <br /> t'u _ p <br /> I� C) <br /> i! /D <br /> Orn L,.-.)/ - moo ' DC <br /> �b <br /> 1,00 <br /> yo w i <br /> ,2•2o �. <br /> M <br /> 3.00 <br /> ►', - 5_0' �� <br /> 350 <br /> n, S-s/ <br /> Ln 77V_ r <br /> 31011 101 L/ <br /> r � <br /> ;6kmPtan <br /> ae). Date / Time Rec ed y s natur Relinquished by(signature) Date / Time Received by (signature). <br /> or Agency S-�O p C an or Agenc Company or Agency. Company or Agency. <br /> W F L�nv�ronn�tlr <br /> Relinquished by(signature). Date / Time Received by (signature). Relinquished by. Date / Time Received by (signature): <br /> Company or Agency Company or Agency. Company or Agency Company or Agency. <br /> Relinquished by(signature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br />