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® ® ® M-- ®-._ o-- M. Imo-_ Imo.- SOL., mll.-_ M -- Imo__. =..._. ®__. ®__ M. ® m : <br /> AAA ,MANQEVILLE & ASSQCIATS CHAIN-.DF-CUSTODY RECORD <br /> envi 1 uVinwing wvicae <br /> PROJECT NUMBER PROJECT NAME <br /> 7o y 97Ot0 LOc2 ' --- zzzzm <br /> SAMPLE CONTAINER PREPARATION FIELD SAMPLING RECORD <br /> SAMPLE PREPARED BY OATS TIME ISSUED 70 SAMPLER SAMPLER DATE TIME CONDITION FIELD TESTING SAMPLER <br /> A <br /> CONTAINER CONTAINER N0. IN LA83E4 1;,�- LOCATION <br /> W3 LO(7Z 7--tui �� p�1COL�Nb Y�` 3�2V89 IS3? / 2- 3 G Jel/ <br /> RELINQUISHED BY: D TE TIME RECEIVED BY: RELINQUISHED BY: DATE TIME RECEIVED BY: LABORATORY <br /> ( 6 TUBE ) 2 t SA (SIGNATURE) t SIGNATURE) NAME <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: RELINQUISHED BY: DATE TIME RECEIVED BY: <br /> ( SIGNATURE) (SIGNATURE) ( SIGNATURE) (SIGNATURE) <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: : COMMENTS: <br /> (SIGNATURE ) (SIGNATURE) (SIGNATURE) (SIGNATURE) <br /> RELINQUISHED BY: DATE TIRE t8I6NATURE); tSIGNATURE) TORY BY: DATE TIME REMARKS <br /> a <br /> NOTE: EMPTY = E EMPTY-i/4 = 1 1/4-1/2 a 2 <br /> 1/2-3/4 = 3 3/4-FULL = 4 OVER FULL = 0 REVIEWED BY: DATE: <br />