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i <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: V Al id,4C PqN y <br /> ( 3 Zo W6fi ( Sf . Srdccr <br /> SAMPLERS (signature) <br /> Number �va <br /> of <br /> REMARKS <br /> Station <br /> Humber Date Time Station Location Con- �p <br /> u C, tainers c <br /> f 3/ 12'41 Sr4901NC jIMM+N4-1146 �/ fDhMY r�� Qi��OrILT� Q�G¢NIG <br /> 93 x WA1/4 N W4 Of Jf)(CAnneAf 7r �b� ! •- LOA N!rONW r <br /> aa <br /> i <br /> SAO <br /> Re in uish�by(signature). Date / Time Received by (signature): Relinquished by(signature) Date / Time Received by (signature): <br /> Coand 3 Company or Agency: Company or Agency: Company or Agency: <br /> WNf Law�IG�JMfi+t'�rIL .� <br /> ` Relinquished by(signature). Date / Time Received by (signature): Relinquished by. Date / Time Received by (signature)- <br /> Company or Agency: Company or Agency: Company or Agency Company or Agency: <br /> Relinquished by(signature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> f Company or Agency: (signature) 6700001 <br /> 31�y 3 <br />