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K _ KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> (SAMPLER I SITE HANE R ADDRESS I ANALYSES REOVESTEO I TURN AROUND TIME, I <br /> / �` pyx/ � <br /> ' } RPSk�r- I <br /> i--- �`-----i �a�aI l II I 1 I I <br /> (WITNESSING AGENCY I <br /> I 73 3 PaCj414"e -51"d >t � <br /> I I 1 1 1 1 1 1 I <br /> n <br /> I 1 I I I i t I NO <br /> I SAMPLE I I I I I ! I Of I SAMPLING I 0.I �I �t o�� f I I R E K A R K S f <br /> I ID NO I DATE I TTHE I SOIL IWATERIGRABICOMPICONI I LOCATION <br /> J-I k ✓ I I � t I IS�e Sa �P Z ` i I I�I � I I I I �1 ` �� ? I <br /> I _ 36 I I v l Ivl I I I ✓ ! I I t I I I �� � I <br /> V'- <br /> I 3 �oI I I � ! iii I S I 1 ,/I I ✓ I � I I I I �� � I <br /> ���-��(50�{ rr ! � ✓ I I `'� I—+�k I ✓I ✓I l� I ✓ � I I I � �3 I <br /> I SS /r l I ✓ ! I ✓I I I I I `� I J �I � I I I I �� � I <br /> I���SB}� ,� � ,.� � +� � I ✓ I l l ! I i i L 11,i� l I I f � �I <br /> (Relinquished by (Sign cure) I Date Time I Rec rg ure) I The following MUST BE canpleted by the laboratory accepting samplesAW Z I <br /> for analysts I <br /> } } } 1 Have all samples r ceived for analysts been stored to ice? f <br /> IReltnrpished by (Signature) I Date/Time I Received by (Signature) I —__ - I <br /> I I I 1 2 Will samples remain refrigerated until anatyzed7 T I <br /> IReIInrv1shed by (Signature) I Date/lime { Amelved by (Signature) I 3 Did arty samples received for analysts have head space? I <br /> I { { I G Were [aapl s appropriate cattsiners end properly packeged7 I <br /> I11ei"OV1 hed Iry (Signature) I Date/Time I Received b/ (Signature) 14 I <br /> I I I I I <br /> I ! Signature Title Date I <br />