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~ r • ~ & Associates, Inc. <br />Em~ironnmmal Scienlisu anJ Engineers <br />r~~ <br />CHAIN OF CUSTODY RECORD <br />. - ~ c.~ ,,.>-~..., ., <br />2 8 9 2 4888 Pearl East Circle, Suite I08 <br />Boulder Colorado 80301 , <br /> <br />Proj. No. <br />.?09-0/ Project Nam <br />~w~ s /(/esf /vine <br /> <br />N <br /> <br />SAMPLE ( <br />gna re <br />~ ~{ ~ Q- <br />d ~ o <br />~ f ~ ~ o. <br />of <br />Con- <br />tain- <br /> <br /> <br />Sta No <br /> <br />Date <br /> <br />Time <br /> <br />Station Locat <br /> <br />ion <br />Sample <br />Tag No. q h ~ <br />t v ~ <br />~ 4 (~ ~ a Q <br />U J <br />(. ~. <br />ers <br /> <br />Remarks <br /> / ~/ys ]drum /~ 3 yv~~{/ ~ O(L <br /> <br /> /?~ S ~u.... 5'O ~ y3 / o/ L <br /> /~~ iur, r/D ~ `/7 X / o/L <br /> /?3 S~iL D/5 sisal ~/O ~ t~S v <br />X l So/~- <br /> 9, /mss s ,~ D, s ~ I yo - Y6 X _ ~ so,~ <br /> <br /> <br /> .-i <br /> <br /> <br /> <br /> <br /> <br /> <br />Rel' uish d 'gn.) / D [e/Time <br />9 /e~s ls~~ Received by: (Sign.) Relinquished by: (Sign. Date/Time Received by: (Sign.) <br />Relinq fished by: ($'i n.) Date Time Received by: (Sign.) Relinquished by: (Sign. Date/Time Received by: (Sign.) <br />Relinquished by: (Sign.) Date/Time Received <br />by:~ (Sign for Laboratory <br />.) Date/Time <br />911nJ~17 1523 Remarks: <br />Distribution: Original accompanies shipment. WALSH & ASSOCIATES.INC <br />