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LYSIS C <br /> IN OF CUSTODY RECORD . <br /> SAMPLING AND ANA ll 7 <br /> J LABORATORY NO <br /> ER PROJECT NO <br /> U0SAMPLETYPE LOA&.f I <br /> . Sam`le Informatlon Boll to Informal on Lab Intormalion Chain of Cuslod Documentallon <br /> Sample ID_ Lab ID Parameters No. Ty e Pres. Fill. Lab PO# Sampler Date Rec'd By Date Comments I Recd By Date lComments <br /> T G X <br /> 3 <br /> Sampled�yr� re Hall ad By: U t i T1 J Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> EMMA Contact: Received y: Date: Time: Received By: Dale: Time: Received By: Date: Time: <br /> EMCON As iale§-.1-433 North Markel Boulovard, Sacramonto, Calilotnia 951334 (916) 928-3300 <br />