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M M w w M M d W W W W <br /> Environmental Resources CHAIN OF CUSTODY RECORD <br /> Management sP: 7171 <br /> 2525 Natomas Park Drive, Suite 350 •Sacramento, CA • 95833 •.(916)924-9378 • FAX(916)920-9378 page 3 of 3 <br /> PRalEcr.#'` PtzoiECTNAME REQUESTED PARAMETERS <br /> MATRIX <br /> SAMPLER: PRINT,NAM - . - SIGNATU E -� <br /> `J <br /> RECEIVING LABORATORY' O <br /> SAMPLING PRESER -ICE .AMP,LING 1L <br /> -SAMPLE I D. DATE TIME O �. -`METHOD NATIVE- YlN VOLUME I <br /> U (9' _ <br /> z (1 <br /> .Cr G(1rUi21L. moi;%7v- l �. <br /> RE W QUI HELYBY SIG ATUkE DATE - TIME - RECEIVEDBY - DATE TIME:- "- '.FIELD REMARKS ' <br /> V11.5 <br /> RELINQUISHED BY(SIGNATURE) . . .DATE TIME " ' - RECEIVED BY. DATE -TIME <br /> -RELINQUISHED BY(SIGNATURE) DATE.- TIME RECEIVED BY - -.DATE '.TIME <br /> REMARKS ON SAMPLE RECEIPT ERM REMARKS - SEND REPORT TO: r ' <br /> 0 BOTTLE INTACT ❑CUSTODY SEALS ❑CHILLED / C <br /> ElPRESERVED ❑SEALS INTACT ❑SEE REMARKS. / / <br /> WHITE-LABORATORY PINK- DATABASE MANAGER GOLD-PROJECT FILE <br />