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w� �� i� � aei �� !� is � i• i � i i i f•�i• f• <br /> EVW�H:iF <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME. <br /> h a <br /> SAMPLERS { r a <br /> Number <br /> of REMARKS <br /> Station <br /> {umber ;te Time E � Station Location Con- <br /> tamers <br /> 3 o x X X <br /> "r k 1 <br /> a a z x <br /> U X X21 <br /> 3 X x <br /> x x <br /> �l g k X <br /> Re44 ed b si nature)- Date / Time Received by (signature): Relinquished by(signature). Date / Time Received by (signature), <br /> ny o cy: Company or Agency: Company or Agency. Company or Agency: <br /> Relinquished by(signature): Date / Time Received by (signature): Relinquished by. Date / Time Received by (signature): <br /> Company or Agency Company or Agency: Company or Agency. Company or Agency. <br /> Relinquished by(stignature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br /> ,�� <br />