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HWM Procedure No.402 ~ <br /> Analytical Sample custody <br /> I FTI I�I� as I-elks . .ft .1N®1 l[_®1 a� CORD <br /> 9401918 r`� 9401923 <br /> EAS SAMPLE# Requisition : <br /> .,(' amp llct r <br /> Name: n� /� , <br /> Date: �Z <br /> Sample Description: O _c 2 ?_c�-�—�7 <br /> Signature: <br /> Courier -_.... . <br /> Received by: <br /> Date: �- ^ ie of transfer from Collector: <br /> Signature: ' <br /> Environmental-Analytical Sciences <br /> Received by. 4 ., <br /> Date: Ga '��y Time Received:-,.. <br /> Comments: <br /> Signature: �. <br /> LL 6268(Draft Revision 4/8/92) <br />