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~~ E. T. rt:c:. <br />Il at~r_.( f,,~vlTnnmrnrnl ~'eslln Jn~~~7t~rr~~~0 Soutfr Amrrlfan Fnrk 1!!ah BIOOJ (80!1763-0660 FarBO!)763-OLIO <br />Chain of Custody Record <br />.ustomc:r: nl LJ ^z ../~ ~ ,j~~~, ~Pler: !~S' <br />Sacn~lc Date: 23 r~ ~ Z___ ~~~ <br />Sample Infoanution <br />Smnplc N t?atc Ttmc CompositdGrsb Location Analysis Requested <br /> <br /> <br /> <br /> <br />Sam lc Custod Rcoord <br />R ~ ~ ltcocivai by: IhteJI`une <br />~-._- <br />v F'~~ <br />g -23-0 2 <br />Relinquist,od by: ttcodvud by: uatrrt'une <br /> <br />Itd;nquished by: Rooei <br />~ natell`~mc <br />~~-T !~ ~'- 2Y-oz ;3v <br />Serttplc lteoeivod m Leb try mye <br /> <br /> <br />Comments: U ~ i F ~~e7D.fp~iJ~.¢ ~~ <br />Temperature Iteccived in the Lab: I'sfflucnt °i ~ ` y <br /> Rocciving Wolu-: yN" <br />w.sr. ~.~. tt,x oet <br /> Cbdrf: Wa fa__.,y~ _ n.d Ddi.aY Aahcd 6 Slepla- (Xx ed trrk <br /> Btoe lac VV1i_.T. i.e !}sit _ Qaaet. '~N t]rJOQy Sub lbod Y (~ 1[~sS7 <br /> ycae 5641go! _~ SeJdLYJ/ H / t1A tma Y / H Ye _~ <br /> Ho <br /> B'dra~ Os~ a (bnaal Gb.Yiem llsoQ l S.t4riul l~ Sdaom< O.~+V ~ ~"~_ °~ ~ Septc ^ <br /> <br />ltfiegl <br />Ya <br />Ya X <br />~ Tis 7- <br />S~¢? <br />Ya _L <br />~.st Vtrdl <br />Yes <br />Ao~~d <br />L= <br />Ya Rgaaod _ <br /> Hu ~ 1io tb ~ Ib <br /> <br />