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SAMPLING AND <br /> LYSIS CHAIN OF CUSTODY RECORD <br /> fmcon PROJECT NO �/. �/- /, /C SAMPLE TYPE Cl _ ' LABORATORY NO L2 1 ` <br /> . Sam le Information Bottle information Lab Information Chaln of Custody Documentation <br /> Sample ID Lab ID Parameters No. Type Pres. Flit. Lab PO p Sampler Date Recd By Date Comments Recd By Date Comments <br /> a <br /> 1 <br /> • <br /> Sampled By: (Si n�tuf Reiinqu shefi Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> 1, <br /> EM fcON nI t: �. Received By: ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> ( <br /> ,a L5 <br /> EMCON Associates, 1433 North Market Boulevard,Sacram te, a ifornia 95834 (916)928-3300 <br />