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Chain-of-Custody Number• A <br /> SEACOR Chain-of-Custody Record <br /> 1'7:34 3H r14 S�REE7' <br /> S,4ct:Latrnt�NTp CA 958 b <br /> Q (916) 49'6- 4 131 (q 16) qg'b 01 10 r4i <br /> Project # H o 0 L 6 -a o to l Thsk# 001 Analysis Request <br /> Project Manager RICH C A S i A S <br /> Laboratory ry N S E GO aa z <br /> 13 <br /> Tlirii-around time A 91Jh+� E E % o H Z Comments/ <br /> ,TO N Q� `� `' — a Q Instructions <br /> Samplers Name m 0 a o o Yi a p <br /> Sampler's Signaturex r x h x o o N o a J z <br /> Sample ID Date Time Matrix la- F > x$ e a ARSal -46 S-7.5f9`l 09q_T Solt X <br /> S191 -Sb 1 1000 x <br /> Sal - 61•S 1015. X <br /> SB1 - 6b 1030 <br /> &at - -11.5 roLf5 <br /> S a l - 76 1100 x X 3 1 <br /> SG1 - SI 1130 X l <br /> S{31 - I6 1415 X <br /> S e Z- 61b 6150 X <br /> S(;2 - -76 -16.94 0^oDS X x <br /> Special Instructions/Comments Relinquish y ReceivV � Sample Receipt <br /> E Rg4Ee.T LOCAT 10 N Sign Sign - Thtal no of containers <br /> Print O H u 130 u"`� Print RlGYA2l� /�S <br /> �35 CASY A�P1 ME AVE• Cham of custody seals <br /> 1' <br /> Company Z9A�D Company `s Recd good condjuon/cold <br /> S-TockTnN , [,1� Time 1635 Date 2� 9w Time �G 3 S Date S2� Conforms to record <br /> Rehnq T��"�4 „ (J�� gn ved b- <br /> Client <br /> Sign S <br /> Print 'I'156CI Print r1,C 3 Le <br /> Company .S e'"`tCO� Company Client Contact <br /> Time y '3-457— Date Time 1-73 F_ Date Client Phone Number <br /> Date / / Page of <br />