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CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION <br /> ERM-West 2865 Sunrise Blvd., Suite 210, Rancho Cordova, CA 9574 RECORD <br /> client: 2 6538, (916) 535-7766 <br /> Atchison, Topeka and Dare: e" receiving laboratory: <br /> w <br /> Santa Fe RailwayCo. r page: of: Anlab Analytical Lab <br /> Weather: <br /> 770 South Eastern Ave No. of containers (thl 1914 S Street <br /> os Angeles, CA 90040 Sampler(s): s page only). Sacramento, CA 95814 <br /> ERM-West Job No.653.r. Signature(s): (916) 447-2946 <br /> Sample Time Sample type Containers Preservative Ice Sampling <br /> ID (roll/water) -- _ Analyses <br /> (grab/camp) No. Volume —Type Y/N Method <br /> Ir <br /> 3 �'6 <br /> — --- ---------T------ <br /> Conments <br /> — — � '��. _—� 4 -------- Custody Record <br /> ----,_------------_----- ____ Signature/Date/Time <br /> —_�_--_-- ____—___,--_ ___-�_— .__ —— Relinquished _ <br /> ———— _ ---------.-----__ Received -- <br /> --------•------------------.__`... --- Relinquished — ---------_— <br /> Received <br /> z <br />