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EA <br /> ENVIRONMENTAL CONSULTANTSIle <br /> ';' <br /> CHAIN of CUSTODY RECORD-- <br /> PROJECT NAME: Q <br /> Number of 433 -- <br /> SAMPLER (signature) : Container/ <br /> Type of �� �� ,' <br /> V <br /> Date Time Sample Location Sample � <br /> Lab I.D. <br /> f1-7- 12- 11 - 7 i - l r C k <br /> -3)C) - t 178=1- APK 1 - `T <br /> IN r' 6' m 1djII - - 1 r <br /> ,11 - 1-7 <br /> -n' <br /> IN r' 44o?rn &b- 1179'1- 7AuK <br /> D FPM u, 1 - f / ' <br /> G'5;' - - - <br /> Relinqui.she by : Date j Time R ceivpd y: Relinquished by : Date j Time Received by : <br /> xf IO'� l +' <br /> Company- <br /> Company: <br /> oma :C � <br /> Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by: <br /> company :-':# - Com an : }'; Company , Company: <br /> Relinquished byc ., ]ate Time Received by: Relinguished by : Date Time Received by . <br /> ` <br /> Company: Comnanv Company:- <br /> NOTE: <br /> om anNOTE: in preparing legal documents always use ink and signatures <br /> P.O. BoX 2242 (209) 384-1441 MERCED, CA 95340 <br />