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.ETS EARIK-TREATMENT --SYSTEMS <br /> ENVIRONMENTAL CONSULTANTS <br /> CHAIN OF CUSTODY RECORD <br /> PROJECT NAME: <br /> Number of h��b 0 ea <br /> SAMPLE {sig, tore} <br /> Con tainez s/ <br /> zr • `� Type of <br /> Sample <br /> Hate Time Sample Location qa <br /> Lab I.D. <br /> eY <br /> 4 � c <br /> ?to _PL _-7 �, �� `"' <br /> Regi-rfga' ` hed by: Date. / Time 7*j <br /> eive�tl by:\ Relinquished by : Date / Time Received by : <br /> 7;,,v7 1416� //I��" ; -- y: <br /> /I rr,m an ,� ✓ Com an 1 Company: Com an <br /> f-Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by: <br /> ! r-., ,,.pan <br /> Com an Com _any : Company : <br /> _ nquished by : Date Time Received by : Relinquished by: Date Time Received <br /> Com any Company- Com an <br /> NOTE: In preparing legal documents always use ink and signatures <br /> 11?47 {409} 384-1041 MERCED, CA 95340 <br />