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CHAIN OF CUSTODY RECORD "� of 1 <br />_� �ProJect Name: 9 04 � <br />�..`^' �t r+gi" — Ctlot..s / 1k <br />Pro oct Lacat Analysis Requested <br />4 �USt � = 7�- <br />Project Number: 1^3 ^d r - <br />Field Logbook No.: ti f✓ <br />Sampler: (Pitt Name) 1AIBl.uon: <br />,� <br />Chain of Custody Tape No.: 10 4 51 C„iht <br />SUNSHHINE MIN T <br />S i. • = f <br />i CO <br />�� <br />it <br />Send Results/Report to: Falcon Price <br />9 <br />Box 1080 Kellogg, ID 83837 • u <br />~ vqY N°1 IdenGlia.ea0 <br />tkwa <br />Tin. <br />ardb <br />Da+yp <br />(Lgy ) <br />P�deeWw <br />r <br />� ` lab I.D. <br />n.mddb <br />-3 <br />78/1 <br />'-, ; <br />" !'+ <br />Liquid <br />Ice <br />No <br />PH =8..0 <br />— mil). <br />15 ° F <br />(O/ 78' <br />€polcsic.,6-4 <br />Relinquished by (wail Na,) e <br />John ruj1110 <br />Signet url <br />Date: <br />8/ 01/97 <br />time: 3:00P$ <br />Received by: IPrra N.M.) <br />Signature: <br />Date: <br />Tine: <br />AnelyUCea l.ebondory (Destination): <br />ENSR LABS <br />Relinquished by (Not Nemo) <br />Signature: <br />Date: <br />Time: <br />Nome <br />Received by (wad N.m <br />signature, <br />Date: <br />Tlrne: <br />Fort Collins, <br />Received v t <br />CO 80521 <br />4 . EX E. <br />Rellnquished by: (wr,r Nam) <br />Signature: <br />Date: <br />Time: <br />Received by: (PAM Noma <br />)7 17 <br />tine: an <br />T mp, = i ° C ( 5) <br />Susan L. G3urn <br />Slpnature j' <br />I Serial No. 25 1 72 <br />1.0101371 <br />7 C <br />