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SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> > mtOn PROJECT NO SAMPLE TYPE C LABORATORY NO <br /> S�il-�2y3 <br /> •SSOO �TEB <br /> Sam le Information Bottle Information Lab Information Chain of Cu dv Documentation <br /> Sample ID Lab IDI Parameters No. Type Pres. Filt. Lab PO# Sampler Date Recd Bv Date Comments Rec'd Bv Date Comments <br /> Toeo /z5 <br /> I171U- kt'm5-5 ?1111p) qqpi <br /> Sample By ignature) Relinquish Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> EM N ont t: Re eived Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> z= Al .3 <br /> EMC014 hsslciates, 143 orth Market Boulevard,Sacramento,California 95834 (916)928-3300 <br />