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i <br /> j dh <br /> XAPREALIAN ENGINEERING <br /> N C 0 R P 0 R A T E O <br /> CHAIN or CUSTODY <br /> SAMPLER -FE V E SITE NAME A ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> Foll'nlcte v.voCAL Bu cl< pt JAI T-;if, o 95-0 <br /> WITNESSING AGENCY S ]`o C t' 0/U � <br /> SAMPLE Of SAMPLING a 1� R E M A R K S <br /> ID NO DATE TIME SOIL WATER GRAB COMP CONT LOCATION �— <br /> go 3 <br /> �W 3 ° a �r'P a X X 3 D l �- <br /> N! 3 a� X X 34, 01 - AA <br /> /44 U0nn <br /> �w6 X <br /> A4 Lu 7 /' la s r� ,� 3 X X t <br /> Relinquished by (Signature) ate/Time Received by (Signature) the fallowing MUST BE completed by the laboratory accepting samples <br /> for analysts <br /> ' l Have all samples received for analysis been stored in ice? <br /> Relinquished by (Signature) Date/Tame Received by (Signature) <br /> Z 41r11 samples remain refrigerated until analyxed7 <br /> r — <br /> Retirwpished by (Signature) Date/Time Received by (Signature) 3 Did any samples received for analysis have head space? <br /> AQ <br /> 4 Were samples in appropriate containers and property packaged? <br /> Relinquished by (Signature) Date/Time Received by (Signature) <br /> Signature Title Date <br /> 2 i0 tit umc1111rnL 'fflk ilii <br /> (ium)r l 0hlorm196211 <br /> ltl 51Uid125liki Iia 5111[r`l"tx�r1 <br />