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% <br /> KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY ------- <br /> ------------ R <br /> kN SITE mAmE L A�)DRISS ANALYSES RE"SI1D 7-1 <br /> SAMPLE <br /> !WITNESSING AGENCY <br /> E 01 A 'K X S <br /> O40. i <br /> SAMPLING <br /> F <br /> I SAMPLE I RABICnKPICOW1.1 LOCOLI 104 <br /> ID NO. DATE TIME IWATERic G-Z-0 <br /> i �\�\o �Fs�;���, I I ! li ; ` Ii I � i � I I I I I I l C> <br /> w"an'; joz�. <br /> to <br /> labor,jory acctPtir-9 S-"ILS <br /> the <br /> The following KUSI BE cogTpleted by <br /> JIL inquis by, Signature) R e.ived [Signature) for analysis: in ice! <br /> va, I. Have @it sbqites reCeived f04`a,,Iy&is been stored <br /> tSignature) analyzed? <br /> 12.Datell Ime Received by: will swrVICS refrain ref 10�_pated until it <br /> IRrljr.:pish (signature) <br /> 3. Did prvy swpkes received for analysis have <br /> headl <br /> Date/Time ime Received bY-- (Sig-Lure) <br /> (Relinquished by. (Signature) I I Lamers properly packaged? <br /> L. Were smptes in apPrWia <br /> pe,,i,,d by: (SignAturcl <br /> {Ret inclu ished by: (Signatpirel (latc/I Inv ittle Date <br /> Signature <br />