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PROD NO R03ECT NAME <br /> F7yll lift t (— 0 -t NO `V <br /> n <br /> LIP NO SAMPLERS (signawre) 1 <br /> OF �y ? <br /> (7 q55 <br /> CON- <br /> DATE SAMPLE 10 TAINERS Q� �� REMARKS <br /> i <br /> I <br /> Relinquished by`fsia (uray Date/Time Rec ad by lsgrsat ra RemarVLEASE RETURN COPY OF CHAIN 4F CU$TOOY WITH LAB REPORT <br /> �; �'" bC & INVOICE. <br /> Reltnquis ed by tsignatuA) DatefTime Receiv by #Signature] PLEASE RETURN COOLER, BLUE ICE & PACKING�,��ATERIA S.1 <br /> L �QQ TURNAROUND TIME. �,,�e REPORT TO.� ,v�E � 'L•_ <br /> Relinquished by (Signature) Date/Time Received for Laboratory by PHONE # 209_983-1340 — FAX 1 209-983-0304 <br /> (signature) � <br /> Canonie Environmental,212 Frank West Circle,Suite A,Stockton,CA 95206 <br /> N0 17803 <br /> RETURN THIS COPY TO SHIPPER <br />