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Chain-of-Custody Record —� � N�.i 11.67 Date Page , of / <br /> Project NO.: `i 3 U 77 ` ANALYSES REMARKS <br /> Samplers ISignatures): SZ Additional Comments <br /> IQAPP,QA samples,etc.) <br /> ate+ B P N [V q mCD <br /> 1 L O CD 0� 00 CA O <br /> Q <br /> V <br /> r� n n n � � <br /> r L a 0 <br /> "m ID m m n n a v _0 u <br /> o 0 n o <br /> Date Tlme Sample Number n <br /> p a a d d d d d 0. d O U D <br /> ,A �° LU w up w r- F- w F- u u 4 a <br /> I <br /> 3•-/S' ')w J9Y7 At IA' - / tit) <br /> //: Z3 nJ JAI � u.1 3 <br /> (1"InDIFIE✓h <br /> � :y8 /r1w 1,4) l Bre 6y <br /> / So2-a <br /> 40 <br /> Turnaround time-: / Results to: / Total No.of containers: <br /> _ /V ale fr IGi �////�� e r' 0 Al 13 <br /> Relinquished by(signature): �jDate: Relinquished by Islgn\at�u}re): Date: Relinquished by(signature): Date: Method of Shipment: <br /> �S �� i�J C�Uu►''/eY -- <br /> Printed Name. rE. Printed Name: r � Printed Name: Laboratory Comments and tog No.: <br /> �Tc,r✓�C Time: 3G M"-(,( +rt} 1- Time: Time: <br /> Company: l5. Company: l�' �L. Company: <br /> )Jltl i K./ 7 b `IV <br /> Received y fsignatu e►: 7Date: Received by(signature): Date: ReceivedP{sl nature): Date: CC <br /> r ��. <br /> Prilrted Name: ry y rinted Name: Printed Name: GeomOtrix Conaultants <br /> G/�_ Tine: Time: f ,�..{� Time: 2444nnau',acj•eec.SLAie421!�D <br /> Company; company: Company: t Frost California 93721-273,4 <br /> r rr L 12091264-25135 <br /> ("7 (2091264-7431 F <br /> i� ���mm bi n: Ilow a[or —or <br />