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Chaim-of-Custody Record NO j 'I Date _()3 Pag of <br /> Protect No 6 140-1 ANALYSES RE=MARKS <br /> Samplers(Signature) Gc " <br /> C r �l Additional Comments <br /> N N v toN Q g uI "1 y <br /> LO 0 <br /> m CO m} CO m Co mo o W mO <br /> M CO <br /> Ir <br /> C Q L_ L_ L r- N m d] O nJ T p7 II 'a C <br /> tU m t0 d tU G3 d C 0 0 a ? (,) <br /> r X r2 r2 q� tD 7� �( d 1f <br /> Date Time Sample Number a a'Q w a a d a ro `—�'— o to �' o o = <br /> UJ w w m w w 11 w 1 0 o 0 in U) ti o v z ` <br /> zOLO13 40 Mw; -I� �( l� ? X x x N� fNoloL <br /> a ao MW 3--,5 x I I -I - ' <br /> 151d HW3- 6, Nn W x <br /> %05HW ?H X X XX II � x <br /> 1105 MW 3-3, X �I <br /> Wa x <br /> x x I <br /> Laboratory Turnaround Ti a Results to <br /> APPL � )v j-� �1 i —Qe Te-o� It <br /> Ngo of c ontamers <br /> Iv CL ..1 <br /> Relinquished by(signature) ate Relinquished by(signature) Date Relinquished by(si nature) , �` Date Method of Shipment <br /> ~ i� <br /> Printed N e Printed me Printed Name <br /> Time - Time G Laboratary Comments and Log No <br /> lir w <br /> Company Company _ Company W ![ 1' <br /> Received by Date Received by Date ec ve byII �k vDate <br /> Printed Name ; Printed Na Printed Name �� ,i <br /> I Time Time Time Geomatrix Consultants <br /> ! 2444 Main Street Suite 215 <br /> Compa Co pany Company , Fresno California 93721-2734 <br /> 'Tp `I ((a (5591264-2535 <br /> (5591 284 7431 FAX <br /> I � <br /> I ,I j <br />