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NO. CHEMTECH ANALYTICAL LABORATORIES (916)635-3962 CHAIN OF CUSTODY- LOG-IN <br /> PFjQJECT AME � ANALYSIS SAL RESULTS VERBAL: <br /> PAGE CLIENT CHAIN OrrUSTODY i3 O a �v �,� Yes No <br /> OF �' ".Q <br /> z Z Q4 Ep g BATE BY <br /> CHEM SAMPLE I_D. DATE TIME MATR17( O p P$ �4 TO WHOM: <br /> IT TECH SAMPLED SAMPIED ?Q ¢ PHONE <br /> J COMMENTS: <br /> jjj <br /> +� € y f <br /> l ! 2 S4r S a <br /> L <br /> J i i <br /> �1 <br /> = a <br /> o <br /> Lc <br /> L <br /> OG <br /> 19 <br /> '7 @t <br /> th f <br /> 0 € <br /> id <br /> c3 <br /> LO <br /> M J <br /> CY } <br /> Relirquished by.4skpnh,fe) Date/Time Reeeivaid by:fs"t ,.) <br /> iT <br /> cl- <br /> +� Rebnquisw by:{s + DaturTime Flewived by:fsw km) <br /> h <br /> Relinquished by:;siy,unaei C?atefl rme Received �--� <br /> 1 ij <br />