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dM. 4f <br /> KAPREALIAN ENGINEERING <br /> I N C O R f p A A T E D <br /> CHAIN OF CUSTODY <br /> SAMPLE SITE NAME S ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> ,4-� 0110 G41 ASO R6 <br /> WITNESSING AGENCY 6 0 PQ <br /> No. O <br /> SAMPLEOF SAMPLING R E M A R K S <br /> ID NO DATE TIME SOIL NATER GRAB COMP CONT. LOCATION <br /> Alia 4 / le- 6ontAle ZD '11` V ✓ OS tr 1i <br /> �o� 60 �� l.✓ 1 I t -7 <br /> tj m- 36 �/ ✓ ✓✓ f 1-7 <br /> � <br /> t./i r/ ✓ 1 v 17 .3 <br /> fl V/ <br /> � I � V/ <br /> R It ish by_ (fag at e) +pa e(�NA R ived (S The following MUST BE completed by the laboratory accepting samples <br /> /W/ , for analysis <br /> Relinquished by (Signature) pate/Time Received by (Signature) 1 Have all samples received farclysis been stored in ice? <br /> e Will samples remain refrigerat it analyzed? <br /> Relinquished by (Signature) Date/Time Received by (Signature) 3 Did any samples received for 4lysis have space? <br /> b. We samples in appropriate co Hers and properly packaged? <br /> Relinquished by (Signature) Date/Time Received by (Signature) <br /> Y <br /> Sign Cure Title Date <br /> 2401 Stanwell Drivt.,Suite 4011 <br /> G>ntord,California 94520 <br /> TiI 51060251M l ix 5100870012 <br />