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SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> PROJECT NO_-!?3 SAMPLE TYPE L;a oid., LABORATORY NO_ ,dQ8_q <br /> .Is n, 0 18 <br /> Sample Information Bottle Information Lob Into rmall-on, Chain of Cust Documentation <br /> Sam le ID Lab 10 Parameters No. IM Pros. Fill, Leb POM Sampler Date ZRWd By Date Comments Reed By Date Comments14E <br /> SAN PLES F EVI) IN G 30D CO VITIO I <br /> onrAwil <br /> 14-0– IE WAG&GR <br /> Sampled By: t RollD*e: Tkne: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> n <br /> EMCON C t: R Ived PMIL nEqcl(Da Time: Received By: Date: Time: Received By: Date: Time: <br /> IMP— <br /> EMCON AsLdates,14M rt9 Market Boulevard,Sacramento,California 95834 (916)928-3300 <br />