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CHAP'll OF CUSTODY RECO�.,D <br /> cuJ J.I M <br /> Gni G Lam_ <br /> AMPLER (signatures: u <br /> `--��— •�a A0,011ed Geo;vstar s <br /> Phone: ����) ,� ' 141914 Power fn Rom Sacramer:to.CA 9StlI5 (9151�5�-2401 <br /> r' �� <br /> •Fremont •Costa Mesa .Saaamento <br /> LABORATORY: SHIPPING INFORMATION: <br /> M" Shipper <br /> Address <br /> • Oato Shippeo <br /> TURNAROUND TIME: ��`` a Service U36d <br /> ti Attention: f.,t'c_�I Airbill No. <br /> Gooier No. <br /> Phone No. y Q 4 �� <br /> Reiinquisnan by:{signstture/sr Rece eu bIs' ;tutees <br /> a a?-1991 Tlme <br /> ;L'vf IE Yr r,,-4 ki �i}r V7t r V rLyl. <br /> c <br /> Flesetven fqr fat a:ary pJ <br /> irV-/ <br /> A13ORATORY SHOULD SIGN UPON RECEIPT 'ANO RETURN'A COPY OF THIS FORM WITH THE <br /> LABORATORY. RESULTS <br /> Samole Site Date Analyses Samoie Canaitton <br /> N� o• Identification Samorery Requesteb <br /> Ucon fleceiot <br /> r�3- 7 _ 9I�5JGy -rPf� SC- <br /> ! <br /> 3 ——7C.c d lid / <br />