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MP Environmental Services, Inc. <br /> BAKERSFIELD,CA YOLO,CA PHOENIX,AZ GRANTS VILLE,IIT <br /> (800)458-3036 (800)245-9518 (800)833-7602 (877)800-5111 EN 45 OK BILLINGS. 97 EV0)442- WA <br /> 34 <br /> (800)458-3036 (406)652-5497,'' ^^,�^\-2(800)442�-�6334 <br /> CHAIN OF CUSTODY RECORD Lab Log No".L _ <br /> GlenVprallact Name Project Location(Physical Address) * �/ <br /> V. M � �+ .L TIM leC7 ANALYSES OLA/ <br /> Job Number <br /> 122 ' y <br /> Sampler(Signature) EmployedRtle \�T <br /> ���� y7 r \ <br /> KsILL//Qr� I' G(lbilrjj'�•( n��� <br /> Sample No✓Identification Date TimeV off <br /> � rrn.rrl- , <br /> I <br /> ^I� " ✓ REMARKS/ err ,� 3 Ek-rl�lzc-7e�x},y,K <br /> cou-Mru m CO.vT <br /> / u <br /> arulyd <br /> 1 <br /> / <br /> Rel fished by(Signature) z <br /> Dgte Time Race ignalur � Date Time <br /> (( 'V L <br /> 00 CND <br /> Relinquished by(Signature) Date The Received by(Signa ` _ <br /> D Date Time <br /> � <br /> Repos To: z <br /> BIN To: m D o <br /> n . <br /> 3: <br /> 2 <br />