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CLEARWATER GROUP,INC. CGI Project Contact: n <br /> 1125 Atlantic Avenue, Suite 102 <br /> Alameda, California 94501 CGI Project Number. _ w <br /> Phone: (510) 337-8730 Page of <br /> Fax: (510)523-4984 z <br /> Client: ConlacL Phone fl: Fax <br /> N <br /> O <br /> Site Address: O <br /> r l Sam ler's Si ature � Shipment Method: v <br /> Sampled by: y�-1 (� p Sn M <br /> Laboratory: M. 0(!,hLbe4s Lab,Address: Lab.Phone k f C-> <br /> TAT: [j 24 hr 48 hr [] 72 hr F110 da/ (std.) ANREQUIRED ` o <br /> rMSERVAnvis _ z <br /> SAMPLE COLLECTION MATH NUMBER $ <br /> CF cNlltnent9 <br /> DE9CTtlPT M DA'Tli/ IAR SOLIWATBR <br /> b � 5C lY <br /> (21 <br /> -rl <br /> rCori.0 CD <br /> cyl <br /> 00 co <br /> � N <br /> I IL <br /> (C7 „ < / i► I a- <br /> Relinquished by/Affilialion Date Time Received by/Affilialion Date Time AddiEional Comments: <br /> rt4 .;x C ` <br /> ore I/ � t o.cc <br /> / 5�me ws <br />