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Date 0f <br /> Chain-of-Custody Record N., 1361 � Page �1 <br /> Project No-- <br /> 1i <br /> o_ ? a r ANALYSES ,! , fr <br /> REMARKS <br /> Samplers iSEgnatu rest: a- <br /> f ? J L Additional Comments <br /> (\ o 0 0 0 fOAPP,dA samples,etc.! <br /> 12Y <br /> 0 CO OD CO CO N _C <br /> CPQ D D D D m <br /> 3 S 0�1 W W d A in ate+ �_ t013J <br /> D <br /> Date Time Sample NumberN w w � W F CL w w d <br /> St'II <br /> 00 <br /> :5611-(:,1 v 0) <br /> ��!fil- csrl ►c � � <br /> }5 F_ cr.:Z�1 <br /> � - f5 7 <br /> Turnaround time: \ Results to: Total No.OF containers: <br /> f r� <br /> Rellnf u (signature): Date: Rell qu d by(signature?: Date: Relinquished by{signature}: Date: Method o�5hipment: <br /> i 11 t•rS ti <br /> rdifi <br /> Prifa e/) Pr nt d Name: Printed Name: taboratory Comments and Log No.: <br /> Time: l IY�Aoir� Time: Time: <br /> C mpany: Company: ! 3 Company: <br /> "lL�4iar <br /> Receive by(I ure): Date: Recefv (sig e): Date: Received by(signature): Date: <br /> ��] III,I�) i 1a r l <br /> Prfnte a e: Printed Name: �f 4.5 Printed Name: <br /> Oeometrix Consultants <br /> J1!'^ �f1L�n�rJ T[me: U � fill)� Time: Time: <br /> • l`` 2AA4 PAnin Stir=tet•�'",ul-.rr p 1f= <br /> Company: �I°w Company: 1p � C - ny. I�ra�i es ales <br /> 11— 11111111 W�1C <br /> DistribUtlOn- White.Y12 3W—Laboratory Pink—nrigkn,tnr <br />