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ftF <br /> '3 _.SHF Environmental Consultants, Inc <br /> r Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORDModesto, CA 95355-6729 <br /> 1 (209) 579-8138 <br /> 27 <br /> RD,IECT NAME, -e— <br /> S ,(.signature), <br /> Number4m <br /> of REMARKS <br /> in <br /> er D e Time c -0 Station Location Con- r <br /> tamers <br /> I li r0, ('9— <br /> r` % '£'W X J f C-) 40' l )c /k <br /> > <br /> 7«quished by(signature) Date / Time Received by (signature). Relinouished by(signature) Date / Time Received by (signature) <br /> pany or Agency Company or Agency- Company or Agency Company or Agency. <br /> inquished by(signature) Date / Time Received by isignatare), Reliny,.kshed by (Date / Time Received by (slgnat6re) <br /> pan Agency Company or Agency. Company or Agency Company or Agency <br /> I �crjsbed y4agp,re) Date/ lime Received for Laboratory,by Date ! Time Remarks/Shipping Information <br /> �pAny o Agency ._— <br /> (signature) <br /> gnature) <br /> —T f L � <br />