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wv a , N H uv u j-,t K AND REQUEST <br /> `� CHAIN-OF-CUSTODY RECOR <br /> ANALYSIS TYPE RL•QUESTED <br /> PROJ.N0. PROJECT NAME <br /> W r W <br /> SAMPLERS:(Signallure)/- LIJ <br /> w a <br /> z � <br /> c a <br /> aREMARKS <br /> � a r STATION&LOCATION o <br /> J.D.NO. DATE TIME <br /> VQ . <br /> aux <br /> PLEASE RETURN WE CHESTS <br /> AND BLUE!GE TO WATERWORK, <br /> LA PROJ. GR. <br /> Relinquished by: <br /> pate Time ecelved by: <br /> Date Time Received by: ) <br /> Relinquished by: <br /> =ZLj"tel 1 <br /> -CH (j •' f ,+ /I - -tL( Dat© Time Received by: <br /> ��� <br /> Relinquished by: <br /> Date Ti B" Receiv d by: Re!inquishedby: <br /> Date Time Re ved b Labor <br /> Date Time REMARKS(shipping Related): <br /> Relinquished by: - /o,� <br /> 1710 MAIN STREET + ESCALON,CA 95320 • (209)$38-3507 <br />