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t . <br /> K KAPREALIAN ENGINEERING, INC. <br /> CEiAIN OF CUSTODY <br /> ISAMPLER I SITE NAME d ADDRESS I ANALYSES REQUESTED I TURN AROUND TIME I <br /> �-� �5 � <br /> VlTWf551NG AGENCY <br /> Qo"J � E <br /> NO <br /> I SAMPLE i I I I I I I OF I SAMPLING I j-- I cD I I I I I I R E N A R X S I <br /> I ID NO, I DATE I TIME I SOIL IIIATERIGRABICOMPICONT.I LOCATION I I I I { I I I <br /> ✓ ! I it/I I S-j-D cll� L L I ✓1 t/I I I I I I .2vf-f (7 Po <br /> I��81 i 1 (/ I I I ✓I I.f- I I L/ 1 � 1 � 1 I I l I �2( � I <br /> IAD <br /> � GI I I !/ I I I �/I 4- �Z2 I <br /> I <br /> I t I I I I I I I I I I I I k i I I <br /> E <br /> I I I I I I I I I I I I I I I I I I <br /> I <br /> I I I I I I I I 1 I I I I I I I I <br /> I <br /> I <br /> I I I I I I I I I I I I I I I I I I <br /> IN if ish S atur Date/Time I Received by (Signature) The fallowing MUST BE completed 6y the laboratory accepting samples I <br /> I r1c�ti� �f. for analysis. <br /> T Have 01. samples received for analysis been stored to ice? I <br /> IRetinquished by (Signature) Date/Time eived by. (Signature) ( L4A I I <br /> 1 I 12. hilt s4ples remain refrigerated until analyzed? I <br /> I <br /> IRelinquished by. (Signature) I Date/Time ( Received by. (Signature) 3 Did any A6tes received for analysis have head spacel I <br /> I WN I <br /> } 4 Were iamples in appropriate containers and property packaged? I <br /> (Relinquished by (Signature) I Date/Time I Received by (Signature) ' I <br /> I I t 2L L. I <br /> I ISignature Titte Date I <br />