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HF <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: <br /> SAMPLERS (s� ature) � a <br /> i r', Number Q o <br /> of REMARKS <br /> Station '— <br /> Number Date Time o b Station Location Con- <br /> 0 �_ tainers <br /> 9 <br /> y <br /> Relinqu�hIed sign�yture): Date / Time Received by (signature): Relinquished by(signature): Date / Time Received by (signature): <br /> Compary Qr/Ag cy: i� ' :el Company or.,Agenc : Company or Agency: 1 ) z �l i� Company or Agency: <br /> F �iticv `� - ? � ; ._s ,:k•�-,t_�, 1. �O <br /> Relinquished by(signature): Date / Time Received by (signature): Relinquished by: Date / Time Received by (signature): <br /> Company or Agency: Company or Agency: Cumpany or Agency: Company or Agency: <br /> Relinquished by(signature): Date / Time Received for Laboratory by: Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br /> I <br /> M M <br />