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Page of <br /> Environmental laboratory <br /> 8880 Interchange Drive Analysis Request and Chain of Custody Record <br /> Houston,Texas 77054 <br /> 713/660-0901 <br /> Project No Client/Project Name Project Location <br /> CA <br /> Field Date a Sample Sample <br /> Sample m E Container T Presar LABORATORY <br /> No/ and <br /> Type(Liquid ANALYSIS REQUESTED <br /> native REMARKS <br /> Identification Time C7 U (Size/Mat II Sludge Etc) <br /> foo c&' 3-16 Ky <br /> ���- S r X 3�c�o• r�oq u t,� r-I " �- <br /> i-v 14 <br /> -3 6 <br /> 10096" <br /> lr <br /> ria— <br /> o <br /> /o�9b <br /> Cts+✓9� � <br /> •1 <br /> 5-Y 5- <br /> "A4w- / .s. 05 V Vr C> 13T& <br /> Sa I (Signature) Relinquished by Date -5//,7rgs Received by Date Intact <br /> (Signature) (Signature) <br /> W, "It'4� Time Q 913 Q Time <br /> �Ci�c'✓y �'�L(�CGlG(. Relinquished by Date Received by Date Intact <br /> (Signature) (Signature) <br /> Affiliation Time Time <br /> Relinquishedby Date Received by Date Soca <br /> (Signature)ature) (Signature) <br /> Time Time <br /> SAMPLER REMARKS I r t D Laboratory No <br /> g Time <br /> Seale Data Results to <br /> i <br />