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U0 Q <br /> SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> �mcon <br /> PROJECTNo ` 5( rl?. 2 SAMPLETVPE LABORATORY No <br /> •9SOC � 13 <br /> Sam le Information Bottle Information Lab Information Chain of Custod Documentation <br /> Sample ID Lab IDI Parameters No. Tvpe Pres.I Flit. Lab PO# Sampler Date Recd By Date Comments Rec'd By Date Comments <br /> 1).. • � 1� r,l l�. 1, -. ,.,. �� c <br /> L. ('L <br /> Sampled By: (g71 n yy + Rellnquished B,YJ� j�/ Date: / Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> EMCON Contact. Received By: Date: Time: Received By: Date: Time: Received By. Date: Time: <br /> EMCON Asst;iates, 1433 North Market Boulevard, Sacramento, California 95834 (916) 928.3300 <br />