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WfIF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 9555-6729 <br /> (209) 579-8138 <br /> PROJECT NAME � y Cl �rti� 1 <br /> - ter ice./ ria 7) cA <br /> [ I = <br /> �` a a <br /> SAMPLERS (signature) ,��� <br /> � it ) <br /> � Number Q�4m�(� �� <br /> REMARKS <br /> Station n a Con- 6 J�- <br /> Number Date Time o L Station Location tatiners <br /> U t7 <br /> i <br /> s -�)Q <br /> t�Zo5 3 i <br /> T)2-053 S <br /> _fes^ s � <br /> 9x _s_ . <br /> Rel nqu3shed y(slgnre) Date / Time Received by (s gnature) Relinquished Esi nature) Gate / Time Received by (sigma <br /> -orrpa or Agency ct� 3� P,, Company or Ageury�- ` Company or Agenc, ornpany or Agency. <br /> Relinquished by(signature) me Receired by (slo^ature) Pelinquished �� Date ! Time Received by (Signa re}� <br /> Co,rpany or gen Company or Agenc _�„ Company or Agency 1 £o pany or Agency. <br /> �e'in�uistted �ncsy� <br /> at� gime Re ec ived fur Labe-atory by Date I T ime Rema�-WShipping Information <br /> ignatur�' <br /> rpm^a^ or <br /> r^ <br /> 1 � <br />