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Bill <br /> ;�,=. — ��= A �;� --M <br /> -�� i�� r.�r .�-.. � l w. `"f-•. : �.. .fi X-3)...,sM. N^i.,i.'I• ��,.{� 'fie .. <a:�•:�' W .���.,. �r a x �q�ta�'d's „Sa"'.xr <br /> Im" <br /> E zzz"3Q'4709 SCS LA£ORATORI' 14:17 P.@: <br /> WS� <br /> CUSTODY RECORD <br /> as <br /> �� <br /> vLAICKLAMM° <br /> PERSONNEL 4 <br /> SITE INFORMTION AdVA%„f„^,w, <br /> Sawler (Signature) �LQVL <br /> Job Name <br /> Phone t'CS Job Number _i_// •9OO�J�a Q� <br /> Sample Location <br /> Field Crew Supervisor <br /> field Coe'.pcny _ <br /> Pro,lact GeologlSt/Engineer .��7_� r 1:4 P.D. Number <br /> Rol i had by (S{gnatur l Y u Reeelved by (Signet re) Date Tine <br /> fqo <br /> Relinquished by (Signature) Received by ( gaature) Date Time <br /> Analysis laboratory should complete 'SUple Gond. upon receipt' Section W&W, <br /> sign, and return copy to Shipper <br /> . Sas+ple $awl# ro, ai Site Date Analysis Sample Cond. <br /> 11 Type ,On . Identif katto Sampled Re u! ted on Ae eiQ� <br /> 42A 11 <br /> ci —L ' <br /> • 13-.1. s�� � � fy. u <br /> Remarks: QST our n F- <br /> zU <br /> TM, REPROMMION OF THIS <br /> DCXjpM CANNOT BE <br /> DUE T AZ <br /> CONDITION OF UZ ORIGBAL <br />