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n SAMPLING AND ANALYSIS C AIN OF CUSTODY RECORD <br /> ffY1COn PRO.tECT ISO C' �..� -�- , ' SAMPLE TYPF I.I 1Cl .( I LABORATORY NO <br /> Sample Information I Bottle Informal on Lab Information Chain of Cusl dy Documenlallon <br /> Sample IU Lab ID Parameters No. T Pres. Flit. Lab PO 11 Sampler Date Recd B Dale Comments Recd By Date Comments <br /> 6 ) <br /> TPh � G�Ins <br /> Sampled�y�, (sl, gctature} Relinquished By: F� _at f `Ime 0 Relinquished By: Dale: Time: Rellnquished By: Date: Time: <br /> EMCON Contact: / Received By: Date: Tlme: Received By: Date: Time: Received By: Dale: Time: <br /> 1 , d 41 <br /> EMCON A snclates-433 North Markal Boulevard, Sacramento, California 95834 (916) 928-3300 <br />