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CAPREAt1AN ENGINIENING <br /> to I N C O R P O R A T E D <br /> EL CHAIN OF CUSTODY <br /> SAMPLER SITE 1U►tiiE AmDRESS MALYSES ALEtM.IESTED TURN AAOLM I t, <br /> M� v -Sloc �o r vlJ C <br /> WITNESSING AGEit[r �t-tJ e t 1� <br /> SAMPLE Of SAMPLING j� ice" R E N A A r S <br /> co z IA MO. DATE TIME SOIL LATER GRAS M]UI CONT. LOCATION fco <br /> i--� <br /> z i <br /> Wi <br /> Q <br /> ✓ <br /> spa-c ,/ ✓ 1 ✓ � �� � <br /> J <br /> Sw�-D ✓ �' t✓ ✓ L-'-' <br /> (D <br /> Noel <br /> "(Signetwe <br /> enIme eceiMed by: {Si t ) The following MUST aE completed try the laboratory accepting samles <br /> for analysts: <br /> 1. Have at( s received for analysis been stared in ice? <br /> ui te/Tiaae R ei by: (Siquture) <br /> Z. VIII samptes in refrigerated until analyzed? <br /> L' RetirwWished by: (Signature) Date/Time Received by: (Signature) 3. Did arty s :>teived for analysis have head space? <br /> e <br /> r <br /> ! 4. Pere samples in opriate containers and property packaged? <br /> N 'inquished by: (Sigaature) Date/Tine Received by: (Signature) 11 <br /> p� t <br /> rn ture T 1 t Dae t <br /> i <br /> � 201 ScaawD t)t i+e,5wioe 400 <br /> 0 <br /> • Clwi,nrcl,taldixnia giS211 <br /> � rd:sroA�sro4 t� Swrinutu <br />