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Job #: .2 <br />Ewa: CHAIN OF CUSTODY RECORD <br />Page <br />Client: Site Name: <br />Site Address:2jp: 7 <br />City State <br />Affiliate: Collected By: 0 Tech. ID#: CO <br />N <br />LAB� v <br />Use Only <br />Check One Probe(s) Depth(ft) Daft Time Remarks 40 <br />Remarks <br />W yo& -x <br />LiA <br />In: 13 <br />t4 <br />U, <br />I <br />yip <br />Co <br />i <br />-30,-, <br />VI <br />V <br />17 <br />_J <br />19 <br />%00 <br />�Uev" P <br />10^ <br />Relinquished By: (Signature/Date) <br />Lab Relinquished (Signature/Date) <br />2, Maidmurn Pump Vacuum (in Hg) <br />fel Data Sheet with TVHC <br />Data Sheet without TVHC <br />E]Two Data Sheets (one with TVHC & one without) <br />Relinquished By: (Signature/Date) <br />Lab Relinquished By: (Signatum/Date) Remarks: <br />RT *SFOI Rev.03 05r2003 WHITE - Return with samples to lab PINK - Sendees Co <br />