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CF.IN OF CUSTODY RE,.,.,ORD <br /> SAMPLER (signature): ,4,ov/ietd GeoS/�sten�s <br /> Phone: _P706 432=, Misoon Blvd. Suite B Fremont. C..1 144534 (415;6i1-19136 <br /> LABORATORY: /� / / SHIPPING INFORMATION : <br /> 14,eDl2U" (� SwsTen'9S Shipper <br /> Address - <br /> Date Shipped <br /> TURNAROUND TIM7: 1VU-4..c Service Used <br /> Attention: n ` Airbill No. Cooler No. <br /> Phone No. 65-/ <br /> Relinquished by: sig tur ) Received by:(signatures) Date Time <br /> r7c <br /> d f r�l <br /> elveab story by: _, <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br />