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KLEINFELDER <br /> PROJECT NO. PROJECT NAME L,1 , ' r. RECEIVING IAB: <br /> NO. TYPE <br /> L.P.NO. SAMP4ERS:(Signal 13&- <br /> umber) <br /> (P.O.NO. ff I (i rr OF OF <br /> ``1A ` u �T'21 j V INSTRLICTIO S/REMARKS <br /> (f <br /> J CON- CON- f. <br /> DATE SAMPLE I.D. TAINERS TAINERS i� <br /> TIME SAMPLE I.D. MATRIX <br /> KYNDD HH-MM-SS ) -r <br /> CCk <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 6 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 1 / 1 <br /> 20 <br /> R�linuish dopy:(Si nature) ( Date/Time Rece ed by(Signature) Instructions/Remarks: Send Results To: 1 <br /> _ KLEINFEL�R <br /> Relinquish d by:(Signature) ' Date/Time Received y:(Signature) 2825 EAST MYRTLE STREET <br /> 1 STOCKTON, CA 95205 <br /> (209)948-1345 <br /> Relinquished by:(Signature) Date/Time Received for Laboratory by:(Signature) Attn: <br /> -T <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY 3424 <br />