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WHF Environmental Consultants, Inc. <br /> �7 4 Post Office Box 6729 <br /> +� A <br /> CHAIN OF CUSTODY RECORD _ Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> ! � <br /> PROJECT NAME: 'i� C <br /> SAMPLERS {signat re) a a Q r Q <br /> Number '4F �r , U ` <br /> at REMARKS <br /> Station a 1� <br /> - ' <br /> Number Date Time Station Location taCners � <br /> j1-) "4 <br /> �/� q �7�1 ! <br /> X n x X e G�Tsz 1 <br /> ar ' <br /> K 3G��ss ; <br /> i <br /> Relinquishedb (signature).-. Date / Time Received by (signature): Relinquished by(signature) Date / Time Received b <br /> �— J� y (signature): , <br /> C ny_C-gency` Company or Agency: Company or Agency- Company or Agency: <br /> Relinquished by(signature). Date / Time Peceived by (signature): Relinquished by. Date / Time` Received by (signature): <br /> Company or Agency. Company or Agent.i Company or Agency Company or Agency. <br /> i <br /> Relinquished by(signature). Date J Time Received for La rd_ry b� Date / Time Remarks/Shipping Information <br /> -- - <br /> Company or Agency. t Y (sign /_�� <br /> :U7' <br />