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ChAIN OF CUSTODY FlEi.;ORD <br /> SAIVWL1•�nt , AI�i�Ifa'd aw ysta+flis <br /> - ' 4191-E Pawar Inn Raad.Swamento.U 45826 (916)432-2901 <br /> �"a����---- -• •Fremont •Colz$Mraa t Sialment0 <br /> SHIPPING INFORMATION' <br /> LABORA C f1* / � <br /> Shipper <br /> Addroam <br /> , 4 all, Dyte Shipped <br /> TURNAROUND TIMIC ,. � Sarviao Used <br /> Attention: ..! '�` .�/ / -- i — Alrbill No. Ca�slar AFa. <br /> phone No. - <br /> Flarraivtaa <br /> bY� �lsi natured <br /> ure+ to ;lrnn <br /> Floiletqulltds >a : qn t <br /> latforatpry by: <br /> A C:0 F <br /> LASGRATORY SHOULD SIGN UPCf�I RsLABORATORY RESULTS Y OF THIS FORM VYI >iE <br /> 51t■ Gator Analyxas Sample Condition <br /> satnplt3 upon Reosipt <br /> No. Identificration Sampfad2211 <br /> Requested <br />