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r <br /> r <br /> CHAIN OF CUSTODY RECORD <br /> jAMPLER (signatur 1: Applied adosj stems <br /> ll� SQ I �-�- 4191.4 Power Inn Road,Sacramento,CA 95M j9161452-7901 <br /> f 6) S ���I -- •Fremont •Costa Mesa •Sacramento <br /> phone: <br /> SHlPPI NG INFOFiMATiON: <br /> LABORATORY: <br /> Shipper <br /> ��— Address <br /> pate Shipped <br /> h r Service Used <br /> TURNARCJUNO TIME: - <br /> Airbill No. Cooler No. . -- <br /> Attention: F <br /> Phone No. Grat Time <br /> Rei uisn d y: signatures) Recnived•hy:(ai atu� � 16 C5 <br /> LC 't L } 1 <br /> Rete, ed"r laboratory by. <br /> L aeCRATCRY SHOULD SIGN UPON RECSIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Date <br /> Analyses Sample Condition <br /> Sample <br /> Site Retauest�d Upon Reoeiot <br /> No. Identilicatibn Sampled I <br /> - <br /> --lilt) <br /> HS - <br />