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q3'31�ry%fsis 4f y,f`3v�Y`s TI :�4! `^ <br /> r C <br /> 4i <br /> d�r;1 '� 4r P� RK 3 �r ".-S`�"'.. •r•4'7.�Y i 1 % <br /> +2.'iP1F:F�f J FLF F�t� l�.- 3 df'� �.E "1T�4�_ �� �}t Y' r}..4/�•'Ht \ y".. k f -.'..� 9 S <br /> 7 . <br /> CHAM OF CUSTODY RECORD <br /> Client namr J► SC Log Number <br /> number <br /> reject,r'm- — �Z5'Sl Analyses Tequlred c <br /> Jf — . <br /> C <br /> s'r1 <br /> t fo+5 +• <br /> oJart mansq yN <br /> 5 <br /> Sampler(sl <br /> Sem Ie <br /> Date Time rYpe ��D� <br /> p StmFe description Composite <br /> t number sampled sampled or p p Number ti rpt. <br /> j <br /> !' Grab or �•ad'' ti� <br /> contsFners ti ., faemerks �� <br /> 29�Q�•r 71a9s 3:►i6 <br /> I 3 <br /> �I3 f <br /> �- gv :3o G <br /> tt 3 <br /> 4 I1 <br /> t <br /> c <br /> Signature J3 <br /> Relinquished by Company Date <br /> Time <br /> Received by <br /> RelEnquEshed by r! !s n S lLl,• (�L � ,' _, <br /> Received by <br /> Relinquished by <br /> Received by. , <br /> BROWN AND.CALDWELL I Anatical laboratories <br /> ❑.255 ow Hole-' Samples are discarded 30 bays eater results are reported <br /> meryvl�lr., CA 4151 428.2300 unless other arrangements are made. <br /> ❑973 Sous nue, na CA 91105 12131 681.4655 Hazerdaw samples will be returned to client Or diseased <br /> 01 et eilenr expense. <br />