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r lI <br /> CHAIN OF CUSTODY AND SAMPLE I DENT FI CAT ON RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 95814-521 :5, (916) 444-9378 <br /> ci lent: <br /> receiving laboratory. <br /> Atchison,Topeka,and Santa Fe Date: Page: of. Anlab Analytical Lab <br /> Railway company Weather: 1914 S Street <br /> 5770 South Eastern Avenue No. of containers (this page only): Sacramento, CA 95814 <br /> Los Angeles, CA 90440 Sampler(s): <br /> ERM-Wast Job No,653 Signature(s): (916) 447-2946 <br /> Sample Time Sample type Containers preservative ice sampling Analyses <br /> ID (soil/water) — -- ----- WN Method <br /> (grab/camp) No. Volume Type <br /> ---- --- ----- -------------------- ---- --------------_ <br /> Comments: ___ Custody Record <br /> --------.----.,...—_.--------------------- Signature/Date/Time <br /> ---..._---..._-------------.--------------- Relinquished -------.----_.. <br /> -- <br /> Received <br /> .-----.....----------_-..--- ------------ Relinquished -------------- <br /> Received <br />