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3 3 s, s— <br /> KAPREALIAN ENGINEERING 3 <br /> 1 N C O R P O R A T 1 D <br /> CHAIN OF CUSTODY <br /> SAMPLER S T�il� SITE NAME !< ADDRESS ANALYSES REQUESTED TURN AROUND TIME* <br /> (PVC, 5'0 <br /> 9 8 S To CK j 7i N <br /> WITNESSING AGENCY <br /> P/4 C,, F/ C AVE V w <br /> SAMPLE OF SAMPLING `fro lb- R E M A R K S <br /> ID NO DATE TIME SOIL WATER GRAD CORP CONT LOCATION I— <br /> / LP- 10 p M x x 1f /tA W X <br /> /i4w- 13 NO <br /> Relinquished by (Signature) Dale/Time Rece ved (SIgnoture) the foltowing MUST HE coapleted by the laboratory accepting samples <br /> 9/z� 932/30 `j-x9 13 �I_3C) for analysts <br /> 1 Nave all samples received for analysis been stored in ice? <br /> Re*1 ". <br /> byignature) Date/Time Rece ed y (Sig ature) <br /> C�� 2 lftll samples remain refrigerated until anelyted7 <br /> esh (Signature) Date/Time c ived by, (Signa e) 3 Did any sanples received for analysis have head space? <br /> �z� � Were samples in appropriate containers and property packaged? <br /> Rellrxluished by (Signature) Date/Tints Received by (Signature) <br /> 5 igiiature Title Date <br /> 2iUl 5tanv�tll{JnYe_,Suu+_ irx) <br /> CiIludJ Wlkiulntu7t52❑ <br /> lti 51Uf>U25U1f1 I u 51Ut>N7t1(/12 <br />