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sglobal Environmental Geochemistry Chain of dy Record PO # <br /> Client 7TH 'l� i/ e Date / Page�- Of <br /> 66& <br /> Address Gft T C� 3 TEG Project# 707 2.9.5 Outside Lab# <br /> Phone (7or0 � <br /> � 1 34-71 _ FAx LocationAl <br /> Client Project# r- Projec#Manages- ,��Tffz- Collector I - L Date of Collection <br /> + <br /> N w <br /> _N H <br /> Z C W <br /> a m " d <br /> o co ti c <br /> N r 0_ m E V DL <br /> rNx u <br /> a o o °° CO ui LO to <br /> w w W > Z CO Co CO (6 U N <br /> Sample Container ¢ ¢ E a = _ = w x m <br /> Sample# Depth Time Type Type O O O M � a tl 0. 0_ a x O I ° Ia Meld Notes <br /> S2- 101a 9mb rross <br /> I VIA' 1 1363 2 .4 <br /> 7 <br /> F <br /> I <br /> Relinquished by (signature) Date!Time Received by (signature) Date 1 Time Total#of containers Z Notes J/ <br /> q Chain of Custody seals Y/N/NA Nkl I/j I <br /> Z9 / I�Z`� Ll} 1 Seats intact? YININA {N%4 <br /> Relinquished by nature) Date/Time Received by signature) Date I Time Received good conditionlcold <br /> �1/�/��� eta - !/d/P4/r•c-t <br /> 7 Fc�1 Ic <br /> Turn around time <br /> s <br /> Sample disposal Instructns TEG Disposal @$2 00 each _Retum to client _ Pickup <br />