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rim**N <br /> SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> EtY1tQf1 PROJECT No { I=,� -t,Z..`3 I SAMPLE TYPE I.#WI f �— LABORATORY No <br /> .uocIsus _ <br /> Sam le Information Bottle Information Lab Information Chain of Custod Documentation <br /> Sample ID Lab IDI Parameters No. Tvpe Pres.I Fill. Lab PO p Sampler Date Rec'dBvj Date Comments Rec'dBv Date Comments <br /> �, —) I ►�, i L i)E Iles , •�� rzz J`�� v�� ?-Z3- ® K j/Y 14 C , <br /> t V <br /> S4 <br /> Sampled By: e Rollate;. Time: ished By: to- Time: Relinquished By: Date: Time: <br /> EMCON Contact: ' Recelyqd By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> K <br /> E CON oci4e`s,1433 No h Market Boulevard,Sacramento.California 95834 (916)928-3300 <br />