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d <br /> —Environmental Resources CHAIN OF CUSTODY RECORD <br /> Management <br /> 2525 Natomas Park Drive, Suite 350 a Sacramento, CA • 95833 • (916)924-9378 • FAX(916)920-9378 ^ of <br /> PRPRaJECT.NAME REQU E PARAMETERS - <br /> .OD c �1 ;a � co i Ac +CJ Fri 1A MATRIX Lo I <br /> SAMPLER.:PRINT NAME <br /> LJY kr(—wC.t-V Cj <br /> =RECEIVING LABORATORY I S <br /> b V J <br /> m;: SAMPLING PRE ER ICE �AMPLING "� <br /> SAMPLE I D. DATE TIMES p <br /> p p METHOD VATIVE YIN.-VOLUME <br /> 1 � T �t 't•p✓u �' ✓ � �! X l; X �C <br /> ,.._ I r. z ✓ I Y ✓ <br /> Iwo <br /> t'D <br /> X-BX S IGNATURE 'DATE. :. .TIME RECE D BY. - 0ATE :T IM.E FIELD REMARKS..,:: < <br /> c ;Is/o <br /> REL QUI ED$Y(51GNATURE) DATE TIME RECEIVED BY DATE TIME <br /> RELINQUISHED BY(SIGNATURE) . .DATE -,.TIME s:; RECEIVED By DATE .TIME. <br /> REMARKS ON SAMPLERECEIPTERMREMARKS SEND REPORT TO: <br /> ❑ BOTTLE INTACT ❑CUSTODY SEALS ❑CHILLED <br /> ❑ PRESERVED. ❑SEALS INTACT ❑SEE REMARKS (/- S'�C".%/t-1y,;7.ft�0 <br /> WHITE-LABORATORY PINK- DATABASE MANAGER GOLD PROJECT FILE.. <br />