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• 9 0 <br /> KAPREALIAN ENGINEERING, INC. <br /> K . <br /> CIIAIN OF CUSTODY <br /> t T <br /> ;SAMPLER CC// I S1TE NAME d ADDRESS I ANALYSES REOUESIED ! TURN AROUND TIME ! <br /> I �l` d maces/ <br /> ' �s 73a 3' <br /> WI1NESSING AGENCY i P4 Gr 1�C Aye S Tlr�� + I I I I I I t <br /> SAMPLE I I I I 1 1 I OF I SAMPLING ; �I I I I I I I R E IN A R C 5 ! <br /> ! <br /> ID NO r; DATE I TIME I SOIL IWAIERIGRA81COMPICONT I LOCATION <br /> I E /- se7 I q I I S I I f ! � � 11./r i —i--I—}-•---i--} ��' `D <br /> I V--I I I I I I I I I I I 1 <br /> I _ 51 r, I I ✓ I Ivk ! I I I I I I l I 1 � � I <br /> I „ I I I I I I I I t I I 1 <br /> 'e 1,! 1 - dol „ I ISI I '/ I I I ISI I I I I 1 1 X731 <br />' }� � / I +, I I ✓ I I ✓ I 1 I I vl I l t I I I `� <br /> Lf7S <br /> +� L,/ <br /> I <br /> ���� �� r� I I S I I ✓1 I I I I ,,I f I I I 1 I �7� I <br /> I I ,� I I v l I ✓ 1 11 I I ✓ I I I I I I I I <br /> I3 J�•_-ria r .L_ + <br /> ;Relinquished by Sign lure) ; pale lime ; q :y,gnatu ) I The following MUST OE carpleled by the laboratory accepting samples I <br /> � [ for analysts j <br /> I } bbl 1 Have all samples received ter analysts been stored to ice? I <br /> tRelinquished by. (Signature) ; pate/Itme ; Received by (Signature) ✓ ! <br /> I I I [ 2 Will saaples remain rear rated until analyzed? ; <br /> IRcI(rx}rrshed ty (Signature) I Date/Time I Received t7y (Signature) [ 3 Ord erre samples received for analysts have head space? ; <br /> Itie{trx}nshtd try (Signature) ' Dale/link I Received ( 4 Were samples in apnrolrr a containers and property packaged? <br /> I I I �' (Signature) [ r I <br /> I 5lgnniure (/ title D tc <br />