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M <br /> ENVIROMETRIX CORPORATION CHAIN OF CUSTODY RECORD <br /> 3950 Industrial Blvd <br /> 4 Sulte 2000 Semple Collector Aw4fe <br /> Ce LI,',r� DatelTime S /y !� <br /> West Sacramento CA 95691 <br /> r <br /> Phone: 1916? 375-1000 Signature of Collector <br /> FAX: 19161 375.1024 LABORATORY: <br /> ENVIROMETRIX <br /> REMARKS: <br /> Project Nems: 4o r 24 8,..A;;1f _ Job#: Iee 341 6§710 04 /A C- <br /> 2 K • 1to.� ��s� <br /> Prblect l.ocoflon: Ste,ka,% Proleet Meneper: �y�r w Ske <br /> w <br /> a <br /> Tum <br /> Around <br /> Sampling a Time <br /> r N y <br /> C � � <br /> N N L <br /> _ N <br /> N • 40 <br /> O n <br /> a <br /> o H m co <br /> z J! Deo <br /> SAMPLE ID Date Time DESCRIPTION <br /> >L F w 4 �, a h <br /> r— dPA4 Z-W Z <br /> Relinquished by: Re cei db Relinquished by: Received by: <br /> t ' <br /> Date: b Time: :p Date: Date: Time: Date: <br /> CHHn nig Oi fln. l 7/117nF <br />