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a. <br /> LAB PROJEf <br /> FGL ENVIRONMENTAL CHAIN-OF-CUSTODY RECORD <br /> p r') U(See. Reverse for Instructions) NO: <br /> PROJECT NAME 1` 1 dC K PM SAMPLERS �" r ' ) r SAMPLE CONTAINER SAMPLE DESCRIPTION CODES. TAT IDES <br /> IP 1 r� DESCRIPTION.CODES A. Wound water F. ON <br /> PROJECT NUMBER ice- A. 40".VOA vw S. Sudwe water o. waa• �. <br /> 4We V I(SON)N) B. Glass LR•r E. Erase Tube C. Leachate H. 81ank/Spib 2 <br /> RECORDER C• Pystk:SOO•^+ F.Other D. Rkaeate L other 3 eo How <br /> (SIGN) D. Plastk LKer E. SoWSeNment 4-OMr <br /> I <br /> NUMBER OF ANALYSIS REQUESTED LABORATORY USE ONLY <br /> ' CONTAINERS Y <br /> £ AND <br /> '73 3PRESERVATION 'S <br /> SAMPLE <br /> s 1 NOTES ASSIGNED CONDITION <br /> € a i, � n �� � BOTTLE UPON <br /> DATE TIME SAMPLE ID y �' g NUMBERS RECEIPT NOTE <br /> G1341� 47) 1 �c L t� 1Sb �1Jt•�u, in. �; <br /> 1350 CU - - r- <br /> IAOO 5"W <br /> Ia2U S; <br />