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CHAIN OF CUSTODY <br /> PROJECT NAME AND DESCRIPTION <br /> PROJECT LOCATION h a p �. (tom ; O`)'� l 1ST G tae c •n k1�y�v o D P <br /> SAMPLING CREW <br /> Number of Containers and <br /> Matrix Preservative Information Date Sample Number Analyses <br /> w � <br /> t <br /> :a <br /> F. <br /> a eat <br /> Y L U 6 W ... o vii O O o o ' F►, ` [@- <br /> + <br /> ao ao eo ao as co U U U U <br /> 0 a e <br /> C ;; r; Sample Description w w w w w w a 00 <br /> 019 i f 1 i Lh Cn l,J - I P yv!bZt 3 <br /> %0. <br /> 1 5?— 3-5� K20�05 <br /> 105 S —`I SM KZoJO(o <br /> S t+ <br /> Kau <br /> 5]2-<i <br /> e gr -� S <br /> LABORATORY NAME AND ADDRESS CHAIN OF CUSTODY RECORD <br /> i Relinquished By: Date/Time Recei ed By: ate/Time <br /> lWinquished By: Daterrime Received By: Datettime <br /> �a <br /> Relinquished By: atelIime Received By: Daterrime <br /> Relinquished By: Date/Time Received By: Date/rime <br /> Airbill Number: Datefrime Received By Lab: Date/Time <br /> Please Deliver Analytical Results to: SPECIAL INSTRUCTIONS <br /> � L j � <br /> Project Manager: � YC �e.'t', S a � I S �J i (�S5! `� �V <br /> CAL INC <br /> 2040 Peabody Road,Suite 4u0 <br /> Vacaville,California 95687 J <br /> (707)446-7996 <br /> (707)446-4906 facsimile <br />