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CH)-..N OF CUSTODY RECLAD <br /> a�• Glen Ucwrbrc�{{ <br /> eaezni (i i �. Vpavl <br /> S;,S <br /> SAMPLER (signature)* <br /> 4,A0//d WI GooSystems _ <br /> 4191-'i Power Inn Road.Sacramento,CA 95M (916;452.29131 <br /> Phone: •frr:mont •Costa Mesa •Sacramento <br /> LABORATORY: 11 SHIPFING INFORMATION: <br /> FSC -apol' ' Of 1GS Shipper Qe <br /> SDI u 11AM Q16 fc Address . �;, -r-j Ale-_,. <br /> G 21 3 O S7 — Date Shipped r.. /- ' r <br /> TURNAROUND TIME: ?-�C ��c� 1 1r' Service used j:JC� <br /> Attention: 1 Airbiil No. Cooler No. <br /> Phone No(. z-7 <br /> Relinquished b sigft uresi Received by:l9ignatureal Date Time <br /> C"" for isproTaby: t _ <br /> -*m.460nAT'OR'i SHOULD SIGN UPON RECEIPT AND RETURN :+ CORP OF THIS FCiRfi4 ir3liTi-i THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> GJ•-53•-AAW 3 <br />