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K L E I N F E L D E R , <br /> PROJECT NO. PROJECT NAME RECEIVING LAB: <br /> r(�5 76-- NO. TYPE <br /> L.P.NC!. SAMPLERS:(Signature/Number) 0 ^ <br /> (P.O.NO. OF OF 11- <br /> V INSTRUCTIONS/REMARKS <br /> CON- CON- <br /> DATE SAMPLE I.D. TAINERS TAINERS <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DD/YY HH-MM-SS <br /> /3410 51121 T1 r�' <br /> 2 1 � <br /> 31111 T E 7 ' s <br /> 331 R 1 la L 55 <br /> 4 y ,9 13'51�- Sidiv., �I'L SS <br /> 5 4) �� V3 L 55 <br /> 6 -ylo r1>> is 5swlo" suit- <br /> ! <br /> 7 <br /> 6 <br /> 9 <br /> e = <br /> 10 <br /> el <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Relinquished by:(Signature) Date/Time eive y:(Si ature) Instructions/Remarks: Send Results To: <br /> KLEINFELDER <br /> Relinquished by:(Signature) Date/Time ceived b :(Signature) ���` L 2825 EAST MYRTLE STREET <br /> III STOCKTON, CA 95205 <br /> 11 (209) 948-1345 <br /> Relinquished by:(Signature) Date/Time Received for Laboratory by:(Signature) Attn: <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY r:. ' 3427 <br />