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• i <br /> K _ KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> t <br /> ISAMPLER I SIIE HAKE A ADDRESS I ANALYSES REOUESTED I TURN AROUND TIME } <br /> ;UITNESSING AGENCY I - 7303 PQ4 /� ,Q�e.sr �`� I I I utl 'pl I t I I <br /> I I t `�I I I I I <br /> I I f ! I I I IND I I <br /> I SAMPLE I I I I I I I Of I SAMPLING I SI I I I I I I It E M A l K S I <br /> ID NO I DATE I TIME I SOIL IWATERIGRASICOMPICONT I LOCATION <br /> Sa*„1,lE <br /> IEg ?—fm i <br /> I I I I I I I I 1 I ! E t I I <br /> I ` 261 ?/ I `� { --+t,/I <br /> I� <br /> 16 I l� k I v <br /> l I 1 I I I I I I t I I I t I I 1 I <br /> IRelfrq (shed by Sign ture) I Da a/Time I Received by (Signetsamplesthe I following MUST BE carpleled by the laboratory accepting <br /> I I it �l I �/2Z�� <br /> I for analysis: I <br /> I 00 ! 1 1. Have all saaplea fcelved for analysis been stored in Ice? I <br /> IRelinqulshed by (Signature) I Date/Time I Received by (Signature) , _ `7 } <br /> I f I 12 Will •angles r In refrigerated until analyzed? I <br /> IRelingaished by (Signature) I Date/lime I Received by (Signature) 1 3 Did any samples received for analysis have head space? } <br /> I ! I /Vo' ! <br /> I I ( 4 were samplesI appropriate containers and property packaged? 1 <br /> IAeliriq3ished by (Signature) I Oate/Time I Received by (Signature) 1 y y 1 <br /> Signature litte D. <br /> L -,� -- --- - i <br />