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MID_C:ONTINENT <br />2381 S. Plata Dr. • P.O. Baa 3388 • Rapid Cay, SD 577D9 <br />(805) 358.0111 • www.TheChmisir"b.com <br />Company <br />6.'11eCt "GV /7 <br />Project <br />Name Mgr. <br />// <br />A C.i Z)ay Gels �,—V d s <br />Project <br />Number <br />TiME� <br />Sampled <br />by <br />sDnnturo <br />�— <br />Sampledby <br />12 2c, <br />CHAIN OF CUSTODY RECORD <br />PREMMU WITH <br />P-mety,1rt141IN <br />AEMI WWW (MA / MN <br />AIIN.YSES � <br />nEDUQSIA � <br />I <br />FOR LAS USE ONLY <br />�pto Cord cn <br />paaWra ct Cnnit�sr <br />REOUESTED TURN AROUND <br />SAMPLENAME I■ DATE TIME <br />�8`rflifrilli+laii <br />� <br />■® <br />TIME RECEIVED BY (Signature) <br />COMPANY NAME DATE I <br />TiME� <br />12 2c, <br />RELINQUISHED BY (Signature) <br />COMPANY NAME <br />DATE <br />TIME RECEIVED BY (Signature) <br />COMPANY NAME DATE I <br />TiME� <br />12 2c, <br />FORiA 113D <br />