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ETSTESTING LABORATORY- <br /> ENVIRONMENTAL & <br /> A 5 5 0 C I A T E 5 CHAIN OF CUSTODY RECORD <br /> PROJECT NAME. <br /> 3os- <br /> Number of Sc� aoa <br /> SAMPLER (signature) Containers/ <br /> `7 Type of `" o <br /> Cl <br /> Sample <br /> Date Time Sample Location Lab I D <br /> 2010:56 PO W3 <br /> 561 A13 <br /> 1 SO MW - �► 5b2 PB <br /> elmquished by,, Date 1 Time Received by Relinquished by Date 1 Time Received by <br /> Company Company �,,� Company Company <br /> Relinquished by Date I Time Received by Relinquished by Date 1 Time Received by <br /> �,,�� <br /> ompa y q� p ny Company Company <br /> Relinquished by Date / Time Received by Relinquished by Date / Time Received by <br /> Company Company Company Company <br /> NOTE In preparing legal docualways use ink and signatures <br /> jPO BOX 20 (2091 361141 _ AL= AAmP41AA. <br />