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CHAIN OF CUSTODY RECORD <br />)ATE ' s,44 zM1 PAGE ' dF <br />�IROJECT NAMANALYSES TO BE PERFORMED MATRIX i Denali Group <br /> ADDRESS !S'+O_ 41 <br /> N C <br /> Gq NI A M N 1850 GaLvq 814,Suite 110 Tel (925)602-2333 <br /> p T B T Concord,Udomfa 94520 Fax (925)683 1258 <br /> IROJECT NO. Sit;_ R E A <br /> SAMPLED BY ��-� ` X O <br />,AB NAME !vI x <br /> SAMPLE DATE TIME LOCATION <br /> 1n MATRIX F S (CONTAINEEREMARKS <br /> AS ZE,ETC . ) <br /> -� <br /> 07/,z 7ZL) <br /> i340 1< <br /> {signs tura) �E VED H : si n ura) d e time TOTAL NUMBER OF CONTAINERS <br /> 1• UI BY. 7 � G g-- <br /> REPORT SPECIAL SHIPMENT <br /> 2 . RESULTS T0: REQUIREMENTS <br /> 3 . 4 f_,,L <br /> 4 . tJL�- <br /> 5. SAMPLE RECEIPT <br /> INS RUCTIONS TO LABORATORY (handling, analyses, storage, etc. ) : CHAIN OF CUSTODY SEALS <br /> RECID GOOD CONDTH/COLD <br /> CONFORMS TO RECORD <br /> A <br />