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/uo�; <br /> SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> PROJECTNO - OZ.'S ("` vO <br /> �niC®tI ��, �. SAMPLETYPE � LABORATORYNO <br /> •ScI.C. •IE4 • <br /> Sam le Information Bottle Information Lob Information Chain of Custodv Documentation <br /> Sample ID Lab ID Parameters No. lype Pres. Filt. Lob PO# Sampler Date Recd By I Date Comments Recd B Date Comments <br /> AMak.,IMr 4 -51WM.0 <br /> �—J 1 eir�arn/ci su�t�G I L PE NT" I w 045-,5j <br /> �P `• �, �-' <br /> 111 ros, or; G, SG10M�J <br /> 2 <br /> izs <br /> G-� ►U;+mgen L'PEalb <br /> _-Z (10 <br /> �_I ,, rron,fMn1nn�s I LPE HW, �S <br /> l�Isso�ved, <br /> 12 43 ,ti,.G <br /> �j-I Zron l PEFb �Q <br /> r nus el v.,v <br /> S-' <br /> to (Ie03), Zoo <br /> N NO fhRr�cinc�sc. Lf� 3 It-�-' <br /> le- <br /> 1 <br /> Sampled By: ( I r Reilnq sh te° Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> / 12 a <br /> EMCON Cont t: R vad te: TI Received By: Date: Time: Received By: Date: Time: <br /> - EMCO Associates, 1433 North Market Boulevard, Sacramento.California 95834 (916)928-3300 <br />