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t <br /> IBMIIEll <br /> INTERNATIONAL <br /> TECHNOLOGY <br /> CORPORATinN CHAIN-OF-CUSTODY RECORD R/A Control No. . 3[kl 1 <br /> PROJECT NAME/NUMBER ?gAf4dh'1 C/C Cortfro!Na. 50702 <br /> LAB DESTINATION /'1AG wt� JK <br /> � <br /> SAMPLE TEAM (MEMBERS ��_ <br /> CARRIER/WAYSILL NO. h't CJGY � i <br /> Sample <br /> Number sample -, <br /> Location and Description Dete and Time SS Sample j 1 <br /> _ Corttainar-0—1 Collected Type Type Condllla7 on Recelpt Disposal iT <br /> —U-Z .,Q�) (Nemo and Date) <br /> Svj �r�sS Record No. <br /> T <br /> S T=j- ¢ rv�' 0 925 <br /> 5 0%0 <br /> 5 T-0—6 ' <br /> 0 S <br /> Special Instructions., <br /> ossible Sample Hazards: y, <br /> SIGNATURES: (Na a.C <br /> n , D a and Time) t m <br /> 1: Relinquished$yZ t -L T Car <br /> Received ey: ��_, I 3. Relinquished By: <br /> Received by: <br /> 2. Relinquished$y; � <br /> 4. Relinquished By: : <br /> Received By: . <br /> Received By: :. <br /> -. .. <br /> ITE-1 Mpal Plan <br /> YELLOW.Fhldc <br /> rw h .. - % <br />