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(I <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 /> SAMPLERS (si ure �Qi <br /> Humber Q <br /> of REMARKS <br /> station <br /> Number Date Time Station Location Con- <br /> Number <br /> r <br /> 1 <br /> �' 9J1524 <br /> 13 <br /> Relin she (s nature): Date I Time Re v ( i r WIP) <br /> d b ( )• Date I Time Re nature): <br /> Comp ny or envy ��� D,, om any o en : ncy: a gency: ;�,,MI <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(signature)• Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature) <br />