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I <br /> CHAIN OF CUSTODY RECORD <br /> SAMPL! RR <br /> 4191-E Power inn Road,Sxrnmanto,CA SM26 !9161432-2981 <br /> Phone: .�.� ••,m,�, �,,•_••••_••a- •Fremont —+CosaMesa Sacramento <br /> I.As <br /> " vRATOpv:LA SHIPPINCt MFORMATION'. <br /> , <br /> Addresa <br /> r Gat*Stripped <br /> TURNAAC1UND TIM-If. r� 8orvioe Used <br /> Attention: r / "r ' Alrbiil No- Cooler No. .r._,^W.�� <br /> Pttane No. <br /> InguleMe l ! nat;sreu� Retteived by:(signatures) t® Time <br /> AdlR eiv t ratary by <br /> OF. <br /> l.ABQgATtZRY SHOULD SIGN UPON F{ECvPT A COPY 0�F THIS FARM IYITH T <br /> LA80RAT0 RESULTS <br /> Sample, Sito Date Analyses S�rttple Condition <br /> No. identittaatio�n S4mpl.d Requested Upon Receipt <br /> 7X_ ,�... <br /> Saar c. .— <br /> .� <br />