Chemistry 3700 Chain of Custody
Date Sampled:________________________________
Time Sampled:________________________________
Current Weather:_______________________________
Sample Location:________________________________________ Sample ID:______________________
Date of last Precipitation:___________________________________
Sampler:______________________________ Sampler Signature:________________________________
Relinqushed by:____________ _______Received by:_____________________Date /Time:___________
Relinqushed by:____________ _______Received by:_____________________Date /Time:___________
Relinqushed by:____________ _______Received by:_____________________Date /Time:___________