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i i i i i i � >• i i i i � i i i i i <br /> KLE/NFELOER <br /> �Briglrt Rople I M1f Solutions <br /> RECEIVING LAB: <br /> PROJECT N0. PROJECT NAME <br /> NO. TYPE F FC-7 L <br /> L.P.NO. SAMPLERS:(Signature/Number) h <br /> (PO.NO) OF OF y ` _t( �+ INSTRUCTIONS/REMARKSp <br /> 7 CON- CON- <br /> DATE SAMPLE LD. TAINERS TAINERS <br /> TIME SAMPLE I.D. MATRIX Y/G <br /> MM/DD/YY HH-MM-SS <br /> 21 1 f0 - 1 ell ( o� = Qy O S <br /> 2 44 x qs <br /> 3 L-3 05ty.S <br /> 4 3S - L+ 0v7ill � x q� XQ m ;L3m <br /> 5 m — mm <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 �� ^l <br /> 13 <br /> 14 <br /> 15 <br /> /l5 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Relinquished by:(Signature) y Date/Time y:(Signature) Instructions/Remarks: Send Results To: <br /> wo.+ter i S Mvn tr r,t, Kle;n�elde/ <br /> Relinquished by:(Signature) DateRlme Received by:(Signature) <br /> InJ�N� and i S 1)o/N- Po1`R12fe_ 2oo1 Arc1,\-A`rPb-tT Rd5trloe <br /> (2000 ` 1lR-13'15_ <br /> Relinquished by:(Signature) Date/Time Received for Laboratory by:(Signature) Attn: <br /> TO <br /> White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy coo No 21293 <br /> eNv-az REV 05/08) CHAIN OF CUSTODY <br />