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L.11i Itcpnt•t I1 � � � • <br /> _ern GcoAnalyfical Laboratories, YYic. � o� �- <br /> Itegulalory ❑ Yes O No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 1-ax: (209) 572-0916 Itrl;alslnr: G �1 <br /> --�- Phone: <br /> �liclft: / i GCHAIN OF CUS'I'ODY Fax: { } <br /> AddfesS: 1� �� }���Dt��i Cry 'i <br /> Y <br /> ;ly L L) zip � I <br /> Project ID e--, a Lab Use Only <br /> (l'rinlldarnc) t �� h' u <br /> S:Iltlpled BY -� <br /> (Signatufe) colltailler <br /> O q: r <br /> Sarnple tYpe 9 1 bib ID !1 CS <br /> Sam1 ple ID <br /> Date 111111 L• (3ta1� Cony Aiauia Tylic Mtc <br /> So! d Real+rtes F, <br /> ki V- `c <br /> r� <br /> x + Mi <br /> 47D 1� <br /> X 1k, tlf-) 3 C 2 A 0--. <br /> —C (f 2 2-S y tl — — 36 <br /> VO 2 A! q �� „ — — — 3 D(, <br /> CE) 4 <br /> t(CII1:►fl:S <br /> i <br /> I <br /> I litidtrd t (Siynattt L' <br /> S I re a ty(%ratwute) ? ate Yiuse <br /> z 9 Z �C -- .1 Ic z 5�S <br /> Neliva uisltcd �i nat t I i t•$ 1 I) c Tlisb {ririw.d by — —}— <br /> (liguatwr} ualc •liritc <br /> I i I <br /> ' I <br /> Preservative: @-40C D-11C1 3Q-Na0H 4Q-Nn2S203 D-t-IN03bQ' -112S O Q7 -Other @-Other ,. <br /> SircTitnc: Ihivine'6111c: Total(lours <br /> I � <br /> Sists; l inis6: Twal Itaurs: Stats: Sire Mrirel: xfa <br /> Milc:lbc: Approved 11y: <br />