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1 - L, 0 <br /> KAPREALIAN ENGINEERING <br /> I N C f) R P O R A T E D <br /> CHAIN OF CUSTODY <br /> SAMPLERSITE 4MEA ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> WITNESSING AGENCY �Q 3� U� D(—I v 1 <br /> UU <br /> No Q_ F Q� <br /> SAMPLE OF SAMPLING 1 R E M A R K S <br /> ID NO DATE TIME SDIL WATER GRAB COMP CONT LOCATION <br /> 4 <br /> P �1� ✓ ✓ TOC TcL� <br /> Co•►�p I ,/ ✓ ✓ v (� S a <br /> 4 � <br /> I <br /> Dat /Time Received y (S nat e) The following MUST BE completed by the laboratory accepting samptes <br /> �0 JI qaS y for analysis <br /> 1 Have alt s s received for analysts been stored to 1ce7 ` <br /> Relinqum h by (Signature Date/TimeL'ceidd by (Signature) <br /> 2 Wilt sampt remain refrigerated until analyxed7 <br /> Relinquished by (Signature) Date/Time Received by (Signature) 3 Did any sNrelved for analysis have head space? <br /> 4 Were samptes Ina oprlate containers and properly packaged? <br /> Relinquished by (Signature) Date/Time Received by (Signature) <br /> z <br /> 5 n ture Titlif Date <br /> 2401 StrnWtll DTIV ,Snit6 3f10 <br /> Qwicurd Cilifurnia 915211 <br /> Te.1 510('0251111) Iax 511)()1711(I)2 <br />