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CPAIN OF CUSTODY RIS%ORD <br /> SAMPLER (signature): <br /> 4,op/leo' GeoSystems <br /> Phone: 6��/�� 43255 Mission Blvd. Suite B Fremont, CA 94539 (415)651-1901 <br /> LABORATORY: SHIPPING INFORMATION: <br /> �fl�ii,F9 r _ Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: 024jeav <br /> ervice Used <br /> Attention: Airbill No. Cooler No, <br /> Phone No. !as/-!f'd 4- <br /> Relinquished <br /> Relinquished by:(signatures) Received by:(sl9netur") Date Time <br /> Received f laborstor 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 /> /O /B Te- deg, &r4acM-42WS le-460 <br /> �_y�_ gL 11 �9�8G tt tr rr /CEr� <br /> 64 /DIto A?(1 " " " /6 Flo <br /> It <br /> /!J Y? i� t. . /CEO <br /> L <br />