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i <br /> KAPREALIAN ENGINEERING <br /> I N C 0 A P 0 H A T E O <br /> CHAIN OF CUSTODY <br /> SAMPLER �S T�E V,i_ SITE NAME It ADDRESS ANALYSES REQUESIED TURN AROUND TIME <br /> F°RM�R u1110&4�1# 5-o9$ 5T00-, %/­7 - /?_,G_C_�4R - <br /> UI1NESSING AGENCY <br /> 15 6 a 6 Pig-C If CNO <br /> x <br /> SAMPLE OF SAMPLING R E M A R K S <br /> ID NO DATE TIME SOIL WATER GRAB COMP CONT LOCATION <br /> Mw 10 ��a���' y °��'"' X / �f /L't Ct-) X X � <br /> MW Il 6- 05'p M )( x X X ( (-7 5 ose'- x x 4 x X OD At, <br /> r 3 0o pmt u x x x <br /> Re[inquished by (Signature) Date/Time Aecetve by (S) atur the fallowing MUST BE completed by the laboratory accepting samples <br /> 5 f e-i/5 } 2 o C for analysis <br /> Have all samples re�eiv�d for analysis been stored in ice? <br /> Relinquished by Signature) Date/Time Retetved by (Signature) V <br /> 2 Will samples remain ref"-berated until analyzed? <br /> Relinquished by- (Signature) Date/Time Received by (Signature) 3 Did any samples received for analysis have head space? <br /> 4 Were samples i ropriate containers and properly packaged? <br /> Relinquished by (Signature) Date/Time Received by (Signature) <br /> gnature Vate <br /> 2401 Stanwell Unve,Suite 400 <br /> f-Axicurd,California 94520 <br /> TO 51000251(X) 1 ax 5111687 0Ci02 <br />