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.t.� �'"^'•�+�tk.. . .� � a ;;,�,"• � i. ��� ei't�` ^.'�`ip,. ,� !� ki,- jT��'�%"Y" ..;�c ^� ' _. ;r 7.°"���"T' �,"�Y <br /> 9 P <br /> ACCULAD <br /> 1.0,ens%"=41,h4Lma.CA.9491sw 4 <br /> .CI.p,oee:170TITnsu4e raz:ITOTITassoea SAMPLE CHAIN OF CUSTODY f WORK ORDER <br /> Cilent'a Name –L� to ^� D�i�`4 �g�(��; ci d <br /> Address C'rrt�e�. Phone <br /> it �Ypj <br /> City,Stale,Zipr -![_ <br /> ... _.. .4i.�'.a ti r C�.^ <br /> filen!'aorRepresentative'aSignature—_, <br /> (61Qnature authorizes the work and te,mt listed telow) i <br /> Ail samples remain the property of the client who is responsible for disposal.A disposal fee may be imposed if client fails <br /> to pick up samples. <br /> PRW.NO. PROJECT NAME r <br /> SAMPLEf S(S1DrtaruraJ I(� \s ' <br /> Not St S REMARKS <br /> l <br /> OFN. b LAS <br /> STA.Not DATE TIME O STATION LOCATION TANNERS 1�u G D (•` �fiE "'Y <br /> LAB NCZ i. <br /> k <br /> j' <br /> I l <br /> �� 8 J/ DATE LIME Recoaved by-(SipneOuel Gcvrm Remarks: <br /> RN ` r <br /> R gWMtlt7y:(s�u 1 1 17 <br /> C.ttE TIME Recwvsdty:rso —) /' ( ✓�/ r <br /> . AaAFIQ.�islutlDy:(Slgnfrunl DATE TIME Receival ( '�/�', ''�,/•t�� - <br /> . dY:Siyfar'ueJ I <br /> CLIENT COPY <br /> 1 <br />