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SAMPLING ANDANALYSIS CHAIN OF CUSTODY RECORD <br />c ,-L 1 LABORATORY NO <br />0 } r' <br />PROJECT NO 1: 1-- C ) �!' SAMPLE TYPE <br />Sam le <br />Sample 10 <br />Information <br />Lab ID Parameters <br />Bottle Information <br />No. T <br />Pres. Fill. <br />Lab Information <br />Lab PO # <br />Rec'd By <br />Date <br />Comments <br />� <br />Z�f2� <br />11�'� <br />I l,�• <br />� tl � �. J <br />Sampl y: gnature) Relin she By: D e: Time: <br />1 i� 'UU <br />EMCO ontact: Received B •, Dteil'��Timl� <br />%b, ) IXA 1J 1 11 <br />EMCON Associates, 1433 North Market Boulev <br />nom..:.. _s n....�.,d., ihnumnntatinn <br />Sam ler <br />Date <br />Recd By <br />vDate <br />Comments <br />Rec'd By <br />Date <br />Comments <br />ML <br />Z�f2� <br />�� <br />( 1 <br />C) <br />Relinquished By: <br />Date: <br />Time: <br />Relinquished By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />Received By: <br />Date: <br />Time: <br />rd, Sacramento, California 95834 (916) 928-3300 <br />