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Ctl sglobal Environmental Geochemistry Chain of Cody Record PO # <br />� rl <br /> Client Le �te+ti J,2 [ 42-1A <br /> Date �� 3 ,-7 - - Page Of I <br /> Address �ZSz 4? ko-� j? S6CL41,1gSZoe TEG Project# 0 Outside Lab# <br />� <br /> Phone �q) Am,--47r- �y4 f FAX Locatton (, e -e G C l iodv <br /> n <br /> Client Project#�C��l e!�ov Project Manager rt Collector Date of Collection <br /> C 61 ad co � 10 <br /> 1y`yy <br /> O co M 0 'D J� <br /> O O O 117 tt7 U O` a l�0 l� O <br /> a <br /> 111 -6 <br /> W 1-< <br /> ao W M ca USample Container ¢ Q E a z z z ¢ 0 w 0 �, --S o <br /> O O O o W a C_ a z w w o 2 Field Notes <br /> Sample# Depth Time Type Type rn a Q T O a <br /> r 35 04o so t t_ 55 3 � <br /> Z. 1,0' l r-3v W-nz 0a o oy 3 0 �s <br /> SP -5- 4.0 1 33 T2 <br /> (1c1 <br /> M <br /> l� <br /> co <br /> r <br /> Rehnquls ed (signal re} Date 1 Time Received nature} Date 1 Time Total#of containers Naa�a Or <br /> / } Chain of Custody seats Y NIMA/N/N <br /> , Seals intact Y1NlNA �U � f rj <br /> Relin by {signature} Date!Time Received by {signature Date!Time Received good condition/cold j <br /> ? 17 <br /> ' m �Ay �rdEk � <br /> i <br /> ( _ ��� Turn around time <br /> Sample disposal lnstr cir s TEG Disposal @$2 00 each r Retum to client Pickup <br />