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;i <br /> Chain-of-Custody Record N 1358 bate ,� 5 Page of 6.- <br /> --Project NO: C 3077 ANALYSES REMARKS <br /> Samplers(Sjpna Q Additional Comments <br /> m 10APP,OA samples,etc.) <br /> � 0 w M m o <br /> u 0 cc <br /> 0 0 O O V C <br /> yf9 L <br /> Date Time Sample Number o n a a F, o <br /> (n !i° w w w w H r w N u ii ¢ Z <br /> Ool <br /> o2 I1 1 ^'f <br /> cc ( Ill r .�A r '!/17. f' <br /> 2 5 <br /> s � foc. 6' <br /> U¢ <br /> i SV. I l'l:I <br /> Vii'' •C.0 � 1 <br /> • <9,c� 0O ,.�,.; ._ 11TH' S S'Iti !'4 r�• k .h <br /> f r <br /> J �nq. Sp;1J o1;, tp1?, Lr : r i <br /> s;-.1 o( <br /> lot. S <br /> SD,4� Cl,, t cyP ( it ti l i t <br /> G1) 1111f.({ <br /> S�,�• GCr 1` S � <br /> • `= cc�+� 5 ) tt I��.,t. �;;.1 S,tt y; it: t •- � � <br /> r �[• f�j'7 Iii j k .�.�u � t' ��t�;� - t''(,�� ? � 1 ,4 1 �' <br /> Turnaround time: Results to:� Total No.of containers: <br /> 7, we v. c IT,ma c. 7=-r—t. <br /> heli u) h dyr( nature): Date: Rei quk by(signature): Date: Relinquished by(signature): 1 Date: Method of Shipment: <br /> Prl e me Pr t Name: Printed Name: Laboratory Comments and Rog No.: <br /> G IYl Time: ,!t- ell ir0,'J'+ Time: Time: <br /> Cvm ny: /0.52 Com <br /> ny X �10 Company: <br /> 0 mk If I I /-)C'- <br /> Rece a ignature): bate: Rece v by(signa u Q1: Date: Received by(signature): Date: <br /> Prl ted ame: Printed Name• -$ Printed Name: �y�� <br /> ©eotm�brix Cvr+suitsrits <br /> UTi <br /> t AG,';tl Time: . U. Time: Tlme: 24,14 nnair,-3tt-,-et,s,.tir.F?2t <br /> Company: ,� Company: ��t�� pany: r-reG„o,catnor r,ir,G-3721 �;:a4 <br /> `1: A/ (2091264-25 5 <br /> S r titian: P.YfafOW— 0 nratary hik-- f a liator ^�� Y <br />