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_e 3Yg7 J <br /> Chain-of-Custody Record J , i7Qo : — <br /> Eae Page of�j <br /> Project No.: � ` . (: ANALYSES REMARKS <br /> Samplers(Signatures): ZU o <br /> AJ Additional Comments <br /> C' o 0 0 0IZI 0 0 0 + CV <br /> O O CC) N 00 M N _ � <br /> CC) <br /> CC) <br /> 01) <br /> (' DD D '0 D D D O _ \_ u 0 <br /> lI L L L— L L L L D r. • C <br /> (lam) a) N O a) iU (1) N U O `� 3 N N D U <br /> Date Time Sample Numbe76 <br /> r a a (~ a 9 a a a ,�„ o� � �� 0 0 <br /> W W W m W W W W F- H ,` `� I�( Vl> LL < U Z <br /> C•�Gh `1C 1�fG��i P� (,25 <br /> e1i bit, Ct CIV de 01 <br /> `Jl jl h��l r'� �"Pq'��✓P�f �L�' <br /> f ✓ : <br /> f r v " C'a 6TI. y¢' <br /> Turnaround time: Results to <br /> -' Total No.of containers: V i <br /> 14 <br /> Reliqui�hiid, y(signature): Date: Relinqu(V d qy�ignature): Date: Relinquished by(signature): Date Method of Shipment: �{a <br /> Prie amen) Printed Na e:. / Printed Name. Laboratory Comments and Log NO.: <br /> Time: Time: _ Time: <br /> CoTpany: rCompapyi 4", fit( Company-- <br /> ! (Cloit, ,, �� .(.i it II"(' 4", x 4 <br /> Received by(�ig!lPture): Date: Received by(signature): Date Received by(signature): Date: <br /> Printed Name: Printed Name: <br /> Pripted N�mg�' �� Gaomatrix Consultants <br /> �J�SI Time: Time: Time: <br /> 2444 Main Street,Suite 215 <br /> Compafly: / �(1 �( Company: p' CO nlpany: Fresno,California 93721-2734 <br /> .,x`11) /`I �1) (209)264-2535 <br /> !� (209)264-7431 FAX <br /> Distribution: White,Yellow—Laboratory Pink—Originator <br />