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ENVIROMETRIX CORPORATION CHAIN OF CUSTODY RECORD <br /> 3950 Industrial Blvd <br /> Suite 2000 Sample Collector rhw (0 IWAPI, DateMme S**/.f4_ <br /> West Sacramento CA 95691 <br /> Phone: (9161375-1000 Signature of Collector <br /> FAX: (916) 375-1024 LABORATORY: <br /> ENVIROMETRIX / ale ? <br /> REMARKS: <br /> Project Name: id 2q IgHu/t Job#: /16 Cpm I {. <br /> Prefect Loo+Bon: Project Manager: N�rAf�n <br /> r <br /> r <br /> _ e ; Tum <br /> r " Around <br /> SamplingTime <br /> N <br /> to <br /> O dt <br /> � C r <br /> N <br /> O <br /> CRYO C v N <br /> H o N m D. a a W <br /> Z e K X v ItQ <br /> w w 2 4 <br /> SAMPLE ID Date Time DESCRIPTION U m m r W cc <br /> t <br /> - I t <br /> t� <br /> x4 14-'5%•r,A1 tl lora 0 I I I <br /> S- 3 --I.s S 1 1 <br /> - 4- 1.5 s <br /> CS-S -1.!r S (14 I.&A 8.614 <br /> cs- G gd-5 s i; t rV. <br /> lof is t t <br /> -L5=C.0- 6 r [ l <br /> S t t <br /> Relinquished y: Ile ived Relinquished by: Received by: <br /> 7f"- <br /> Date: .S' /4► !G 1 Time: 3:2 Date: $�10 Date: time: Date: <br /> CHAMsn.1711r— 1011 rnr, <br />