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eb 17 2006 12: 26 FGL STOCKTON 2099420423 <br /> UU17/00 FRI 10:37 PAX <br /> Rrvision DAM 01120/04 M.:-1: <br /> k 110 ttftch to COP <br /> AeCqftbk iq lboye ftillzing w 60 C;. Mill�i t*l 11 d A ka OT)ibr dx6 SILM day of sampHus or <br /> C1 No N/A <br /> 3, Do dit number of bottlel received 4L Wi X <br /> Sign and date the COC,pilace in 11'zipl P iocilchest as <br /> Armptabit is Al NezW9 to 60 C, Erm, I ad oat <br /> 2. Do the number of bottes=eJV04 im W C� VW No N/A <br /> 4. Wwe si custody scalp infAct7l Yet, No <br /> SampleVerification,L"ings D16 t10 . 1 <br /> 1. Were 83 ril w 1111de an a. No <br /> tic <br /> 2. Did bottle labeh;orreqond with C Yes to" <br /> 4. Were all analym within hu�diug a lit ii c 0i <br /> 5. Have rush or-project due dkez be' d cc J ce ed? Yes No <br /> Discrepancy Doementadon. <br /> Any its=above which sre IWO or do i ic t eel P I tfi(L(i c.temps)umst be reselvcd. <br /> Initiated By: <br /> n FdU"Z/L1./2M6-07 <br /> — 42,$w <br /> e-17-r,' �~/ r- ---- <br />