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btK4l4 f <br /> Chain-of Custody Number <br /> SECOR Chain-of Custody Record �jO aQ 3C7 <br /> Field Officen-77 Additional documents are attached, and are a part of this Retbrd <br /> Address 0 19)6ltd Job Name <br /> RMM &MVAIO Location 1#000 EAST-Plot&*L)' $$ <br /> Project# 77(7-.WM 003 Task# Analysis Request <br /> Project Manager MV AJ <br /> Laboratory <br /> Turnaround Time X17 = <br /> 2,2 m C <br /> 0 :L LDUmU Ua <br /> U om7 DSamplers Name OW W <br /> 3 <br /> ' m E E °D °N Oa �o o¢ aCO o °' o <br /> Samplers Signature ' �� a om i m a�W 'w c3 ow <br /> U 11 a¢ a °o o N o a£i N g o o v 07 C�3 Comments/ <br /> Sample ID Date Time Matrix = r CO r- ¢S to r(D Go Coa� r ti a` r Instructions z <br /> Ft 160 W <br /> 1✓D3a Z o 5-7 <br /> r kVO 3 0 24 .Te <br /> Special Instructions/Comments Relin h Received b Sample Receipt <br /> FMpf <br /> 5i:4-rj 7 01>1)t5RpwU [OSEcaR Sign 411Sign S Total no of containers <br /> Print z� V Print :� S <br /> I Chain of custody seals <br /> Compa y Company fk_, Rec'd in good condition/cold <br /> Time 1330 Date 3 5 oZ. Time � c7 Date <br /> Conforms to record <br /> Relinquished by Received by Client s6 <br /> Sign Sign r._. <br /> Print Print Client Contact /1 <br /> Company Company <br /> Time Date Time Date Client Phone <br /> SECOR CUS[REC Rev 2199 �I <br /> Date / f 162- Page Z of Z <br />