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WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (/.09) 579-8138 <br /> i <br /> PROJECT NAME <br /> Al 0 k -� <br /> SAMPLER (signature) <br /> /r� Number 4��� \ �/ <br /> REMARKS <br /> C� of / <br /> Station a Con' <br /> Number Date Time Station Location tamers <br /> 0 ca <br /> r -1 r-5ter-, I r, e.e Cie C4� <br /> n <br /> 7qf <br /> b� ` ` _ (d 12 �° <br /> Reli qu she b (signat e) Date / Time Receinqu#shed by(signature) Date / Time Received by (signature) <br /> ompany r Agency Com a+Sy t" A ell Company or Agency Company or Agepcy <br /> Relinquished by(signature) Date / Time Recewed by (s.gnatu e). jRellnqul�hed by Date / Time °eceived by (signature) <br /> Company or Agency Company or Agency ICompan! Dr Agency Company or Agency <br /> Relinquished by(signature) Gate / Time Receiied for Laboratorl�by Date / Time ` Remarks/Shipping Infarmati_n <br /> Company or Agency (signatire) <br /> i <br />