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_71 <br /> INTERNATIONAL R/A Control No. 2 (01 y <br /> ' TECHNOLOGY CHAIN-OF-CUSTODY RECORD <br /> CORPORATI_ _ ON 4 <br /> _ <br /> y c/C Control No.-2 6 924 , <br /> - <br /> F,a.� - M t4t�#1 <br /> LAO 19 9Z.�. SLAB ES <br /> PROJECT NAME/NUMBER TO <br /> AN 'T6C�L <br /> D TI <br /> c # <br /> 77 <br /> SAMPLE TEAM MEMBERS' - y z R�+ �CARRIEH%WAY4ILL NO <br /> Sample Sampla "Date and Time Sample :container. Condition on Receipt Disposal <br /> Number I_hcati3r.and Description Collected Type 'Type (Name and Date) Record No. <br /> Special Instructions: N EE�D H 1Z. —r'U24\3 AMOU A.1D ON 2XESULMS' <br /> Possible Sample Hazards: <br /> i <br /> SIGNATURES: (Name, Comany, Date and Time) — -- - <br /> 1. Relinquished By: 3. Relinquished By: <br /> Received By: �" Received by: <br /> 2. Relinquished By _ Relinquished nqu By - _ <br /> 4 <br /> Receive-TBy:- --- -- - :— - F:: Received By <br /> Z. <br /> 2.--_ - <br /> WHITE-To accompany samples <br /> 127A-10-BS <br /> YELLOW-Fief Copy ,.. :.�.a .. <br />