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CHAIN OF CUSTODY RECORD BC LOG NO. <br /> Client name Job number <br /> Analyses required <br /> Project name 5(, �b <br /> o 1 <br /> J•}-� r- 'lir •/`F' �� �-9� is.i-�;�-✓i � %'-�k'/`!'� 5�� �_, • ;� f-����_ 7 � Q � �;/ <br /> Projec manager Sampler(s� j i Oy il`� o QN° AQP <br /> 14, <br /> Type <br /> Sample Date Time Composite Number I J a�qr� <br /> number sampled sampled <br /> or <br /> Semple description of �� � Remarks <br /> Grab containers <br /> -7 7 <br /> i <br /> Signature Company Date Tirne <br /> Relinquished'b <br /> Received b <br /> Al <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> BR.OYVN AND CALDWELL Analytical Laboratories Note: Samples are discarded 30 days alter results are reported <br /> 1255 ):owell Street, Emeryville, CA 94608 (415) 428.2300 unless other arrangements are made. <br /> ❑ 31' South Fair Oaks Avenue, Pasadena, CA 91105 (213) 681.4655 Hazardous samples will be returned to client or disposed <br /> of at client expense. <br />