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7777. <br /> _ I <br /> SAMPLING/ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD <br /> j; Project No. 3,o-afar Requested By: -T l2ipp ( 39 <br /> / �W - P.O. No: <br /> i, REQUEST ' LABORATORY REQUIRE <br /> SAMPLE TYPE: soil,, MENTS CHAIN OF CUSTODY �. <br /> CONTAINERS CONTRACT LABORATORY <br /> i SAMPLE I.D. PARAMETERS l <br /> SIZE/TYPE QUANTITY PRES. LAS DTE SAMPLER SAMPLE DATE RECD By COMMENTS DATE I <br /> , T , 7•�. :esef. REC'b i <br /> j 1KN" 6rasr <br /> r^O�2warstt<eilkrreicnc 9 IC / R/P® <� Ali/go <br /> f0/zH�9a ti <br /> -r ro^frrz' f� <br /> • rr rr <br /> ' q' : � •S, lest). s. <br /> , T � <br /> r waShe.ify kcr•ien <br /> a: ,2.'. .S^6�y @H{ ,r 1 rr n w CC:)(I,�.•rte u.ti,..�• /c <br /> 80/ TE r <br /> 731;1 <br /> ,kJ 2:Kf0 rl%1 •• � $010 j /r e <br /> i•1rIJ U 3 5-6%2WS�t cil.k .osc / / ; <br /> )0I2519p <br /> opi <br /> -�.'�.""Gr'.'.*'..�,..aM' _ k} Sf�r,�i1J�. il,kwi•ne.EM (2 <br /> -r,e <br /> III* ly <br /> SIGNATURES: cJ...,�a f.,„,SZHO,v 10, <br /> 1 �+..b Pli + -n.R .rofi4lgo <br /> Aelincu,ishe By(Sipnawref Organiiattan Data/Flmar Aa v Y($I aturo — <br /> p� O�y pip, ) Orppniitltrn Dale/Timer./ TurnArounCTrme <br /> ) JD p > (Clrete Choice) r7�D�A(j� S <br /> Relinquis d Hy)Sig re)' <br /> Organization Receive y( Ignotur Or a,kation <br /> g Date/Time 24 t,rs "t <br /> ...�.�...•..ap _ <d Hrs <br /> ISign ure)' Organic tion Dulo/Tirno itu>eiTsIF orLaw tx &y_(SlgnaapJeT' r Dale/Time 5 Days <br /> _ <br /> 10 Da <br /> C 3C fl in.�e� a ,ul��rSo //�O Y5 <br /> 'fir i5gVI Sol o' <br /> PACIFIC ENV[RONA4Ch'TAL G3.vUP, INC. <br /> I <br /> � r <br />