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► � -78 <br /> PROJ.NO. PROJECT NAME <br /> L.P.NO. SAMPLERS:(Slgnalura) OF h <br /> CON" <br /> DATE SAMPLE I.D. M1 TAINERS REMARKS <br /> �- ICO SJr /L <br /> u ' as <br /> orw// <br /> r i u�clr S!x <br /> tc.SS' /'E'✓iDL�cS 'ru/1 �� <br /> Relinquished by:(Signalural DaterTime Received by:(Signature) Remarks <br /> Relinquished 6y:(Signature) DaIsITIme Received by:(Slgnalure) <br /> -Relinquished by:(Slgnalura) Dals/Tlme Received for Laboratory by: <br /> (Signature) - <br /> Canonle Engineers 83 W. March Lane, Srockton, Ca. 95207 <br /> Q White-sampler Canary•Return Copy To Shipper Pink-Lap Copy <br /> N° 0 801 <br />