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uo <br /> SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> fmcon PROJECT NO (i C' ( SAMPLE TYPE_LQ0 1(-j LABORATORY NO <br /> .aeocu)te <br /> Sam le Information Bottle Information Lab Information Chain of Custod Documentation <br /> Sam le ID Lab ID Parameters No. T Pres. FIR. Lab PO# Sam ler Date Recd B Date Comments Recd B Date Comments <br /> Tit",t 111C:, ir.� _Z-0' ,.t. ,l <br /> 1%11.41,n�d,l(�.. �� -) <br /> h.el.,F.to";15,, j t..V I I. i ILC' <br /> > <br /> I <br /> I <br /> til <br /> V r' 7 Z/ 7 U <br /> .>•_`� `/ \ . l /l I <br /> AMMC."'Ltn,V i 1-75s ,C. V <br /> IU-il'Aef PE <br /> I <br /> lit) c" <br /> Sampled By: (SI s ` � Rellnquloet� Bys, ,.y Date: Time: Relinquished Bys Date: Time: Retlnqutshed By: Date: Time: <br /> .G > <br /> EMCON Contact: Rece v By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 17 11) <br /> EMCON As nates,1433 North Market Boulevard,Sacramento,California 95834 (916)928-3300 <br />