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Chain-of Custody Record nn �pate..�- ,.:. _ .0 ..v �. <br /> 0 "t 4 3 S- z a-d z Page! <br /> Project No.: 11cjC� �! � r Gam ANALYSES <br /> _ REMARKS <br /> Samplers{Signature:} o <br /> ® +� w o Additional Comments <br /> lkd <br /> n 3c }�•.n ffZVCC`n Sw..PCM <br /> m m co m m 0 N N vEi w O a <br /> ZG G <br /> r L= L� a a a � o GA�,t-EB S,o � uf- t3 to <br /> w v d 0 m <br /> Date Time Sample Number a— a a <br /> EL s `� a w a a s w w - w o <br /> win 2 72in .o o° o r% <br /> j 11 ,v O <br /> z <br /> AJ a5�� (BMX 8 • ,o. c ,� )( �{ s <br /> t1 <br /> ogzo X <br /> 0 <br /> 1Z to r,M _ $ <br /> bIxsS CNx- ?- S, o <br /> k 5 W , <br /> ► .� C-,i-?X- rr - 0. <br /> e t 33o Cox- 7 -30.0 <br /> X rJ t <br /> x iK <br /> X 5 N NY I � <br /> Oq-tU C-�► Ix -.3 - 55,0 x X 5 N l <br /> Sat•U a9 to Gmx-.L3 `5. a <br /> U`ft5 6'mx-ata- 10_U r'1Cx S /�/ Y t So drZGd <br /> 9LtS C-►,�t,c-16- 3O,o X S ,u Y i <br /> 35.0 �� a 5 v qdL,gN, <br /> Laboralo+y: Turnaround Time: Results to: <br /> ��.� &� Sd Total No. o! Containerslq <br /> Relinquished by (Sigr+alure): Date: Relinquished by (Signature): Date: Relinquished by (Signature): Date: Method o 5 ipzenl: <br /> Prin3ed Name: Printed Name: Printed Name: <br /> Time: Time: <br /> Time: Laboratory Comments an <br /> Company: Company: company, <br /> Cxan'tCe-�Vr d <br /> t-m <br /> 57-- t Date: Received by: Date: Received by: <br /> Date: <br /> Printed Name:Time Trine: <br /> Time: /Company I/ <br /> COmpanY' 7101 W.t'"41 $treat. 121h Ff.., •C).41 no, CA 94612 <br /> Phono 519.6634100 Fe. 510653.4141 <br />