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K KAPREALIAN ENGINEERING, INC. t <br /> +(�a�ey <br /> CHAIN OF CUSTODY <br /> ISAFtPLER I A SITE RAKE L ADDRESS I ANALYSES REQUESTED I TURN AROLIND TIME <br /> V" ... qq <br /> i <br /> 111E ITMESSIMG AGENCY <br /> -� 47o 7 CCLC- ' .��'` <br /> I I ! 1 1 1 1 1 1 1 1 <br /> No. <br /> I SAMPLE i i I I I OF I SAMPLING 1 I I I I 1 I I It E M A R it S I <br /> f to NO I RATE ! TIME I SOIL 1CONT.1 LOCATION <br /> Il,IRw � I oII% � I I l ✓ i •/ f 1 2iO4 <br /> � I ✓ ! I I ! I I I �� � �/ �I <br /> A_ _ l C <br /> it <br /> i <br />� I <br /> AA W-��- f �, I I l ✓ I ✓ <br /> IVA W-13 <br /> I I I I I I I I I 1 I I I I I I I I <br /> I l I I I I I I I I I f ! I I I I I <br /> by (Signature) I Da a/Time I Received by: (Signature) The following MUST BE cwpleted by the laboratory accepting samples ! <br /> I I�p�22Q3 i t for analysts I <br /> •fir —{ 1 Hae all samples received for analysis been stored in tce7 ! <br /> IRelsnqu+s (Signature 1ate/Time I A et by. S► e) ! <br /> I I/ z1y3 12. will samples remain refrigerated until analyzed?-04. <br /> nalyzed? ! <br /> 6 a 1 <br /> 1Rel qu hed ture) ! Date/Time Received by (Signature) 1 3 D1samples received for analysis have head space? <br /> 6. We ea samples in appropriate containers and property packaged? <br /> 171.1-1 1shed by (Signature) Date/Time I Received by (Signature) ti 1 <br /> 1 i 5+gn�ture 1+tle Date <br />