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m I• lmi imi M (i (i iii M M M M lmi � M M <br /> �nsglobal Environmental Geochemistry Chain of C*dy Record PO M <br /> i <br /> Client: Date: 2-- t S- C'rC7 Page <br /> �_Of <br /> Address: L L'n)rC4, L!. (21 . � , ecru :USAz rl-+ TEG Project M C4 7-(45- Outside Lab M <br /> ,r3 �. vrtv�r Y S'+au,'�tiS� <br /> Phone: 5 I S3 G ZS- FAX: CU2 Location:q a l <br /> 5 rel.`�,v`•�v.. ,c�Q'b �►�—. <br /> Client Project#: f -01 - Project Mana <br /> ger:M. Collector. I:�Icsr,�_ -, Date of Collection:fZ- I'S -nu <br /> ry <br /> O Gi <br /> O <br /> -0 co <br /> C <br /> R v m oo ado <br /> [(� <br /> N� °Na � O1 I ilOl Vtll pN <br /> J <br /> N O U CDESample Container ¢ <br /> OOaxxxQt0x <br /> Sample Depth Time Type O r a. z ww <br /> zOOu <br /> O o za Field Notes <br /> w'f jZLc vs Hats� M L <br /> Z.f�o <br /> ,VAS -� <br />� �Vo <br /> i <br /> i <br /> Relinquished by: (signature) dale/Time Received by: (signature) Date/Time Total#of containers: Notes: <br /> / Chain of Custody seals YIN/NA <br /> `` ('�-�• a'� Seats intact? Y/NINA <br /> Ftelinquished by: (signature) Date/Time Re ived by: (signature) Date/Time Received good condition/cold � [y <br /> Turn around time: <br /> Sample disposal Instructions: TEG Disposal Q$2.00 each `Refurn to client Pickup <br />