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3 <br /> k ' <br /> f <br /> CHAIN OF CUSTODY RECORD <br /> Clem name S <br /> r� a ,L. C{ BCA log tlurriber `j C.�r I P Dr <br /> ProjeddrPpf <br /> 7 '7 Analyses requrred — <br /> .Z3 J Phone <br /> City.stele.zip L R 94 `f`f`f— 0/23 <br /> epdrr anent <br /> a <br /> Lab Sampled by <br /> $ample Date „c Hca A <br /> number sampled FttTimed p�� �/P�/L q� Number <br /> Jy T <br /> Sample desCnptiorl Wn18!r4efe <br /> 132, w �y Remarks <br /> rf <br /> 5-7 -4 3 r, <br /> N / <br /> !1 <br /> ,Sea. 45� w <br /> Ir / Atl ✓ a' <br /> G If 4 3 <br /> t2 W — v <br /> 13 15” <br /> 1 r ✓ 7'f�� <br /> lY1O �. <br /> Jr s a . <br /> ✓ E. <br /> !�uza G w 5 z <br /> rr 170 <br /> G w Fro ? <br /> Signatwe `�y <br /> RNe39u Pint Name Ar <br /> rshed by S7r /! ,� Company Dales --• �_,r- <br /> irme <br /> =`46-eived by <br /> a.a <br /> rqusned by 1) <br /> by <br /> pawtal:e w by <br /> P49#—by Uftreeory <br /> 8 C ANALYTICAL <br /> Nere:Samptw are d+scarred 30 d <br /> Rawer Street,E etu akar resuxs are reported unless other arrangements are made <br /> rrmrWsea.CA 5!609 (e15)12B-p300 Haaarr eamplee yell be returned to Giem W tispdaed of at clrenPa expense K AQ—Aqueous IJA Non ueeus <br /> - GIV—Grarrrdwater SO. O SL—Sludge �- <br /> . - Sdt Gf—Othor PE—Petrdoum - <br />