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V <br /> CHAIN OF CUSTODY RECORD BC LOG NO. - <br /> Client name Job number <br /> Analyser required <br /> a <br /> Project name <br /> Project manager Sampler(s) �°ix ILI <br /> • +� <br /> Sample Date Time CompositeNumber <br /> number sampled sampled Sample description of ti+� + Remarks <br /> or ton tainors <br /> Grab <br /> Signature Company Date Time 1 <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> .BROWN AND CALDWELL Analytical Laboratories Now Samples are discarded 30 days after results are reported <br /> d 1255 Powell Street, Emeryville,CA 94608 (415) 428.2300 unless other arrangements are made. <br /> ❑ 373 South Fair Oaks Avenue, Pasadena,CA 91105 (213) 6SIA655 Hazardous samples will be returned to client or disposed <br /> of at client expense. <br /> Figure 2. Sample Chain—of—Custody Record <br />