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CHAINkaP CUSTODY RECORD <br /> BOYAAAN & ROSS, INC, (Page—of—) <br /> Environmental Scientists & Engineers PROJECT 1 TASK NO. .d > <br /> 1320 East Shaw Avow% Suite-ISS..Fresno. CA 93710 1 <br /> Tei. (209) 225.1883 Fax (209) 225.6290 SAMPLER: ( Panted: 4 <br /> 1 , <br /> Signature• E <br /> Billing: ANALYSIS REQUE57ED TURNAROUND " <br /> E m ❑ RUSH ❑ _ HR <br /> I <br /> t pmC ❑ ROUTINE <br /> Attn: P.O. ti .' t U e <br /> .-j <br /> Report E30YAJM&ROSS, INC. O 0 NOTES: <br /> 1320 EAST SHAW AVENUE,SUITE 155 <br /> h <br /> FRESNO.CA.93710 m `- <br /> m <br /> Attn: k f co E ; <br /> N z REMARKS , <br /> DATE TIME SAMPLE LAB w Preservation, Handling <br /> NO. I.D. 'NO. i or Obsefvatlons <br /> ` F <br /> i <br /> f F <br /> , <br /> 4 � - <br /> I <br /> " (Soil, Water, Vapor, Other) i Total No. of Containers , <br /> SPECIAL INSTRUCTIONS: r a, <br /> RELINQUISHED TO: SAMPLE RECEIPT: <br /> i <br /> Printed: # Company: t t El Received in Good Condition r <br /> _ t <br /> Signature: Date_ ~ y i rime: p Samples Properly Cooled, Temp. <br /> RECEIVED FROM: 9 ❑ Proper Containers <br /> Printed: Company: a y <br /> Method of Shipment: <br /> Signature: Date. a Time: ' <br /> I i <br /> RELINQUISHED BY: I <br /> ' Comments: <br /> Printed: Company: <br /> Signature: Date: Time: � <br /> r <br /> RECEIVED BY: (L {a) : r <br /> Printed- Company: 1 <br /> Signature: <br /> Date: Time: <br /> DISTRIBUTION: White - Return to B&R w/ Reports Canary - Laboratory Pink - B&R Sampler _+ <br /> Fla ure G2 <br />