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Chain-off Custody Record Date: Page of 1f <br /> Project No.; ANALYSES �z <br /> #REMARKS <br /> Samplers{Signature-) J <br /> SAt� r 6 C _ Additional Comments <br /> 4 Q O�` �o N N cv a C7 6 .c �, L Lf'•a r] C�+R 1 V 7 <br /> go Z E e <br /> -Z t' t2 'n <br /> ern s �`q �a o c7 t1 -7 ti D V _ <br /> Date Time <br /> Sample Number w t m m 1 S l <br /> ¢— a r V "a v wt'.1 C. <br /> n LL a �� a s 0.1 a m <br /> LU NJ <br /> pt ce <br /> A Ix <br /> r 3 o--v?o 3 p f.! N j 10 t <br /> gIS G 3 0 �K,- <br /> 1c, <br /> ERS15 D <br /> S a 6a 3�.FA <br /> ay -5TF -far <br /> Labar3ivey; Turnaround Time: Results to: <br /> ArtJ 0?�v�'A '571 A,,J DA ��•�,A Total Ivo- of Containers <br /> Refings[ishad by {Signature}: Ogle: Relinquished by (Signature): L1ate: {relinquished by (Signature): Date: Method of Shipment: <br /> :d <br /> PrinteNamei �t-� <br /> _ Printed Name: Printed f+larne: r <br /> rime: Time: T me Laboratory C m encs and Log c. <br /> Company Com anv: e.� <br /> -i Lh llti� 1�c P Company: � ��3 <br /> Fteceive ]y: Dale: Received hyo Date: Received by; Gate <br /> ` tv� <br /> Prirsid Nam Printed fume Printed Name-. <br /> �--' � Time: lime: <br /> I/�GaOrn6Gr'Ix GPtI»Vttiint� <br /> Company. Company.. <br /> ] P Y CQ+"PanY a+o- wacssor SJreuJ, itis, Fluor • Oa#lantl. CA vss;ia <br /> nnor- sra nb?.4sUo Fa. s a ssa t14! <br />