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V 0 <br /> }( _ KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> (SAMPLER I SIZE NAME L ADDRESS I ANALYSES REDUESTEO } TURN AROUND TIME <br /> / J � I <br /> IWIINESSITIG AGENCY <br /> 7343 roe,4, Ae, SrG�1c►i I vyl I I I I I i <br /> I I I �I I nl I I I I <br /> 1 4 1 1 1 1 1 <br /> I I I I I IND I I a I I I I I <br /> I SAMPLE I I ( I I 1 f Of I SAMPLING 1 I ) �I �I I I I A E M A # C 5 t <br /> I ID NO I DATE I TIME I SOIL IWAIERIGRABICOMPICONT I LOCA11011 I ISI ♦� �I �I 1 1 I I <br /> k/ 111f 2 <br /> I I I I v k 1�1 sed �g� I I ��I ✓ k I I i � I <br /> I l I ! I I i I � I i ✓) ( I I I 1 � � � I <br /> (30A I <br /> f & � �� I I � I I v l I j l I ✓ 1�1 �-I S I I I I (..�� � I <br /> 1� ,, I I S I I v l I f l I S I �I � I✓ I I f I s�(� I <br /> t--------I------}—#—t—+ + Int✓I—} } t---} I <br /> ! 6� I� I I � I fel l j l I ✓ 1 I (� IV ! I I 1 � I <br /> t�B 4 fl I I V I I V1 I + I <br /> I ,, I I vl I ✓I 1 J 1 I L/ I [Avivi I I I J I <br /> IReliished by (Signature) I D to Time I Received tgna re) I the following MUST BE conpteted by the laboratory accepting samples <br /> for analysis 1 <br /> 1 } <br /> I } � 1 Have all samples rete or analysis been stored in Ice? <br /> IRelinquished by. (Signature) I Date/Time I R elved by (Signature) <br /> I I I 1 2 Will aemptes remain Yrigerated whit analyzed? -- - I <br /> (Relinquished by (Signature) I Date/Time I Received by (Signature) 13 Did any samples received for analysis have head spacer ^- I <br /> I I 1 I l <br /> ! } t 4 were samples in priate containers and properly packaged) I <br /> IRelir -pjished W (Signature) I Date/lime Received kry (Signature) I I <br /> I ! I I Slgnature litle alt <br />