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REP39092
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REP39092
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Entry Properties
Last modified
8/25/2016 12:24:34 AM
Creation date
11/27/2007 8:17:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1993041
IBM Index Class Name
Report
Doc Name
CHAIN OF CUSTODY
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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~ • III IIIIIIIIIIIII III <br />999 <br />CHAIN OF CUSTODY RECORD <br />,~ ~ , <br /> <br />• <br />lOB NO. <br /> <br />7G~-9~-o PROJECT NAME <br /> <br />wr- ~~.-r5 <br />SAMPLE METHOD ~~'' 4i <br />aJ .,, r <br />~ <br />° <br /> <br />,Z <br />O <br />SAMPLERS: <br />(SIGNATURE) O ~ <br />~Z <br />m F ~C <br />~ ~ <br />~ti ~ y <br />00e~ 002 (~Qr~~`~ J 4' REMARKS <br />l APPEARANCE, elc.) <br />yQ <br />~ <br />1 <br />L <br />` ~ <br />~ LL <br />0 <br />F <br />SAMPLE <br />IDENTIFICATION DATE TIME ~ <br />O ~ <br />v SAMPLH LOCATION ~ O <br />Z U r <br />~ <br />b <br />y <br />~ <br />~ <br />r~0~ O~y Q~ ~ ~ •`~ ~ <br />-1. y h h 0 ~~ ,~ ~~' ~ <br />S p <br />DAM w ~ Zu 9o iyYS M w- S" 7` ~ '~ ?~ orG: ~~ ~.TG IZ <br />W - ~ w S/ ~ tit v ~ Z S ~ '~ ~' ~ ~ NE a~<F)EtY <br />r w - 90 3dv wi ~: ~3 S ~ , Y 1' X ,4LyLL" C r + ~ ~ ~ ~ N <br />~- ~Sy} w-~ ,r j ~ ~~ ~. <br /> <br /> 0 / E Fu <br /> YL FLT1+k,.2_. <br /> O mo.J vo !,i a <br /> <br /> ' 'SFr ~ ~~ <br /> ~'J-~u1J u ITIJ- <br /> ~I Or~.E~IJ 7L2.6A <br /> ~, ~r d <br /> <br /> <br /> <br />RELINQUISHED BY (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURD RELINQUISHED BY (SIGNATURE) CATE TIME RECEIVED BY (SIGNATURE) <br />RELINQUISHED BY (SIGNATURE) DAtE TIME RECEIVED BY ($IGNATURD RELINQULSHED BY 61GNA7URE) DATE TIME RECEIVED BY 6IGNATURE) <br />RELI U ED BY (SI NATURE) <br />Q w TE <br />y~ TIME <br />S,~r RECEIVE RUB RATORY BY <br />ISI ~ DATE TIME REMARKS <br />ruoa-~.: ~./L."T~2- /`/F~.o~ S '_'`'"''~-~'~`Y <br />`~ <br />+l <br />WESTERN E Broad oa <br />P.O. Box <br />TECHNOLOGIES pho ' .Arizona 850 <br />u~w if//U <br />' I.J IT~W ~ <br />,9L,; Zr' L° r <br />,y `' 7aa=uc~ ~ A)PrµYL <br />~~~~ ~~~ T ~ E•r ~'e--- ~~ <br />J <br /> <br />~~ v~ G42'-437-3737 VJhlle-Teslin6 Labonlory; Yellow-Flcld Sampler; Pink-Dcparlmcnl b6 File <br />
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