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�■t i'�''�� OTi�t�' . <br />.. EARTH TREATMENT SYSTEMS <br />ENVIRONMENTAL CONSULTANTS' <br />f <br />CHAIN OF CUSTODY RECORD <br />PROJECT NAME: <br />Number of <br />� v <br />4y -b <br />SAMPLER (signature) : <br />Containers/ <br />Type of <br />Sample <br />4� <br />'x <br />Date <br />Time <br />WAWIX N ME MEE <br />%it <br />L'n i st by: Date / Time Recived by . Rel'nquis e&Date /Time eceived by: <br />07 0 - <br />Com an : 4:15 PMN Company: CCA -5 Company: Gcl}S-W Company: <br />Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by: <br />Company: Company: Company: Com an <br />yi <br />Relinquished by: Date Time Received by: Relinquished by: Date Time Received by: <br />Company: Com2any Company: Company: <br />NOTE: In preparing legal documents always use ink and signatures <br />P.O.-80X,_ 2242 (209) 384-1041 <br />MERGED, CA 95340 <br />