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Chain-of-Custody Record NE"! 1302 Date /,_ l .7 _ �� S� Page OF <br /> Project No-- �" 10-77 Y ANALYSES REMARKS <br /> AI <br /> samwers(stgnaturesl: <br /> b Addltlonal Crnnments <br /> mac. o o U Z C (OAPI?OA samples,0C) <br /> Us a <br /> n 4 w <br /> Date Time Sample Number 0 a n4 a a a a a ad a ,R o " v d <br /> 1A�°s w w w w I- <br /> X <br /> 17 X x x <br /> - - — .�r (.(r )/•! f /iV�Tlr.'frrr•rr�,. � ,>✓f•r'' <br /> I J- <br /> i <br /> � I <br /> Turnaround time: Results to: , total No.of containers: .� r <br /> aAn *t ( ,�i 1� rbc r'� <br /> 1;�, ulshe'd by islgpa ure): Date. Relinquished'by fslgnaturel: Date: Relinquished by(signat(ire): Date: Method or Shlpment- <br /> 1197 <br /> Printed Name: t1 Printed Name: printed Name: Laboratory Comments and Log No.: <br /> Time: Tlme: <br /> Company: ( Company: Company: <br /> C r,ee'J 9.r f 0-t.. <br /> Rece)vec�bv , ature). Date: Received by(signature): Date: Received by(slgnaturek Date: <br /> Printed ame: Pr[nted Name: Printed Name: <br /> t1` r , .,s J Time: Time: Time: L3eomPCrix CaT1RUIF.Afl�4 <br /> Com <br /> 1�an rk - Company: Co ny: <br /> ff I�rJ!l <br /> _ <br /> DIOrlbutlon: White.Yetl"-tahnratory t Ink-nrlalnatnr ---- -- ---— - - -- ---- <br />