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Page [ } [ LEGEND TECItJ }~IL SER VICES, INC. <br /> 775 Vandalia Street, St. Paul, MN 55114- Telephone: 651/642-1150 Fax: 651/642-1239 <br /> CItAIN-OF-CUSTODY RECORD <br /> <br />Report To: ~'~ ~,G~ p _NN ~;,% ~/~ yN.~ dy.v,x.., Turnaround Time: <br /> o~al Date Needed: o <br />) <br /> ~ RUSH Date Needed: g <br />Sampled By: ~ C ~~ ~ ~ Condition Received: ~ceived on Ice ~ ~ <br />Project No.:.7~ O t ~ · ~¢ Purchase Order No.: ~ FieldReCeived Ambientsheet eceived at--°C <br /> Collection Sample Lab <br />  S~le ~scription Date Time Matrix lO No. <br /> Item Field ID ,,~ ~)~ <br /> <br />Sam~~: Item Relinquished By: Date: Time: ' Accepted By: Date: Time: <br /> No.: <br />l,fo' <br />Com~nts: [~ ~' ' <br /> <br />FORM FI.I)-007 (5/02) I'LEtlSE REI/IEIJ~ TERM,Y ,.! ND CONDITIONS BEFORE Si(;NING <br /> ~Vhite Col})' - Original Accompanies Shipment to l.ab Yellow Copy - Lab Pink Copy - Cuslomcr or Field Copy <br /> <br /> <br />