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SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> gym(®n PROJECT NO SAMPLE TYPE (�zZb' LABORATORY NO <br /> •SSOC-I ES <br /> Sam le Information Bottle Information Lab Information Chain of Custodv Documentation <br /> Sample ID Lab IDI Parameters No. Type Pres. Filt. Lab PO# Sampler Date Recd Bv Date I Comments Rec'd Bv I Date Comments <br /> T�c�I IZ' <br /> t :5 tlnrd„c ss i �.PEdab <br /> +�nc�3 �(c,s r►�� sj J �f g1 2 ZI �( DIS <br /> i ow-11 1A <br /> TOS, 16 ac, SCC qtr ' <br /> mit) L �j <br /> nal <br /> I t.'l -J <br /> Ivo cAt)-5T <br /> Nto-Z <br /> WW-3 <br /> 'J� <br /> v <br /> Sampled By: (Stg u Relin pl, D z Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> v e:%� <br /> EMCON t Rerd Da e: Time: Received By: Date: Time: Received By: Date: Time: <br /> -L - 'Z;4S <br /> EMCON Associa s, 1433 North Market Boulevard, Sacramento, California 95834 (916) 928-3300 <br />