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CHAIN OF CUSTODY RECORD CC LOC 1+0, <br /> Cllenl name Job number Analytet requlred <br /> Prolecl name � jb <br /> Project manager Sarnpltri,l Gu <br /> Ttr—A <br /> Semple Date Time Compotlu Nurntxr b <br /> number umpied templed w Simple dtecripUV, of :J Remarks <br /> Con lainorl <br /> Grab <br /> Signeturt m. es Company Due Time <br /> Rellnqulihtd by <br /> Recalved by <br /> Rellnqulthed by <br /> 11tcelwd by <br /> Rellnquhhtd by <br /> Recelvtd by <br /> BROWN AND CALDWELL Analytical Laboratories NoW S.n,pill are dlecarded 00 dayr after rewlu we reuorted <br /> ❑1265 Powell $1rte1, Emeryville, CA 94000 11161 120-2000 unlcn other enmpemenu ue m.Jh <br /> liturdout templet will W rtlurned to cllent or dltpoud <br /> ❑ 073 South Fill Oaks Avenue, Petadent, CA 9liVj 12101 0011655 of it client etepente, <br /> Figure 3. Sample Chain—of—Custody Record <br />