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CHAIN OF CUSTODY RECORD <br />Figure B-2 <br />Example Chain-of-Custody <br /> <br />NAME NAME <br />^ Effluent ^ Groundwoter <br />AooREss ~~ Surface <br />^ Solld ^ Water <br /> 9INANRE ^ <br />N0 LOCATION DATE TIME WEATHER SAMPLE TYPE AND METHOD TM <br />E No. of <br />REMARKS <br />. IELP. PRE4 eo4P. DRAe uEat uAN. cA <br />S1 <br />+c <br />aEARm calwNEns ANALYSIS REQUIRED <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />REUNp1191E0 BY (SICNANRE) RECEIVD) BY (514TIANRE) DALE 114E ADd1IDNAL RENARxS <br />RCLRiCIpSMED BY (SIplARp1E) pEGE1VED BY (SIQlANRE) DALE 114[ <br />pFLNW19eD eT (HCNAIUiIE) REC~VED BY (SIQRANRE) DAIS T4E <br />01lPATO1E0 BY (9(TlANRE) DAZE TINE RCCFIYED Fdl WdlATdtY (86NANRFa DAIC t14E <br />CARRIER LABOIIAIORY <br />'iDDRE~ A00RES5 ALL ANALYSIS PERFORMED BY EPA <br />APPROVED PROCED <br />R <br /> <br />4ERICA or sNIP4plr U <br />ES <br />^Yee ^ No, explDln above <br />• <br /> <br />