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YY t V <br /> CHAfN-OF-CUSTODY RECORD AND�ANAYSISREQUEST <br /> PROJ NO PROJECT NAME <br /> r ANALYSIS TYPE REQUESTED <br /> SAMPLERS (Signature) cn w <br /> r W a <br /> z <br /> w <br /> O <br /> IL <br /> ID NO BATE TIME STATION&LOCATION v <br /> Q 0 N REMARKS <br /> S Ct�MS 1 Pr B C .l7 <br /> PLEASE RETURN ICE CHESTS <br /> AND BLUE ICE TO WATERWORK, <br /> FI LAB WW PROJ MGR <br /> Relinquished by F <br /> Time Received by Relinquished by Date Time Received by <br /> �le <br /> Relinquished by Date Time Received by Relinquished by Date Time Received by <br /> FZA V1 <br /> Relinquished by Date Time Received by Laboratory Date Time REMARKS(Shipping Related) <br /> 1710 MAIN STREET • ESCALON, CA 95320 • (209) 838-3507 <br />