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r <br /> a <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-WeSt 200 <br /> 1 p Street., Suite 200, Sacramento, CA, 95814-521-3, (916)ly444-09 7 <br /> clientL j.zi�., �� ��1 .�, - Date: 11 <br /> C = l4 l I Page: Z- of: <br /> Weather: onl �): <br /> No. of containers (tills Page } <br /> Sampier(s): <br /> �,'1_`-- 1, .r. <br /> . � Signature(s): v <br /> ERM•West Job No. LL��'� Malyse5 <br /> Preservative ice sampling <br /> Containers <br /> Sample Time sample type Y/i,l Method--- <br /> ip (sofa/water) <br /> (grab/Col-110 No, volume Type <br /> -- <br /> �i�tl� — <br /> t�1v� <br /> — +— Custody Record <br /> Signature/Date/Time <br /> Relinquished "i/j, <br /> --------�— --------- ,---�— Received — --`---- <br /> ------------- ----------- ---- Relinquished -------- ------ <br /> ------- �_ —«,--------- Received — <br />