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f It [ I [ _ ( t I f f It f <br /> Environmental Resources <br /> Management CHAIN OF CUSTODY RECORD 4928 . <br /> 1777 Botelho Drive, Suite 260 s Walnut Creek, CA•94596 s(925)946-0455 FAX(925)946-9968 Page Of <br /> PROJECT 4 PROJECT NAME ATRIX REQUESTED PARAMETERS <br /> M <br /> (1110 CcQ Cp'I 0a L MC3ty = • <br /> SAMPLER:(PRINT NAME) (SIGNATURE) � <br /> RE IVING LABORATORY <br /> ac q <br /> � aj� <br /> SAMPLE I.D. DATE TIME a SAMPLING w2 SAMPLING <br /> ov METHOD � o} VOLUME <br /> a <br /> -�-ta d <br /> tfAtjD <br /> 74- 0 <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVED BY DATE TIME FIELD REMARKS <br /> d� /800WALNu7�G2� L o��i4�= S7 ,SAY 5)A� DA42 D '7#r <br /> RELINQUISHED BY(SIGNATURE) DATE TIME RECEIVE DATE TIME <br /> w e -In jo t u' 2b /0 V) <br /> RELINQUISHED B (SIGNATURE) DATE TIME RECEIV Y DATE TIMIt <br /> PI <br /> E IR N SAMPLE RECEIPT ERM REMARKS SEND REPORT TO: <br /> D BOTTLE INTACT STODY SEALS © CHILLED / V� 0AV S yj� A'wV <br /> O PRESERVED O SEALS INTACT Q SEE REMARKS <br /> WHITE-LABORATORY COPY CANARY-FIELD COPY PINK-DATABASE GOLD-PROJECT FILE <br />