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�4i F1 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 /> c�r�c� ob`r� dome g b hU\ <br /> SAMPLERS (signature) Humber <br /> � REMARKS <br /> of <br /> Station � <br /> Number Date Time r � Station Location C°n- <br /> tainers <br /> 3- r <br /> °f 4b C R j c - clock X <br /> r� 4 4 s`aQ <br /> —7!7 P,/ <br /> 96 <br /> Relti u�she by s�gnatur } Date / Time Rece e) by(signature) Date / Time Received by (signature) <br /> Compy orency �•ry5^ra Comp �Aggncy: C6 n�o�gency. 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(signature) Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> Company or Agency (signature) 3-J-GTS <br /> Ifal <br />