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KLEINFELDER <br /> PROJECT NO. �j�/ PROJECT NAME,O Q J fJ D RECEIVING LAB: <br /> 20-yG " 7 'o/ leoI10e�i e"'Of OJ��Tlf /] NO. TYPE �y <br /> L.P.NO. SAMPLER&(Signatur&Number) - - <br /> (P.O.NO. OF OF y qY we-SI` <br /> 2- INSTRUCTIONS/REMARKS <br /> CON- CON- 4 <br /> DATE SAMPLE E.D. - 7AINERS TAINERS t <br /> TIME SAMPLE I.D. MATRIX <br /> MWDDNY HN-MM-SS <br /> low <br /> 12 <br /> 3 <br /> 4 <br /> 5 <br /> 7 <br /> 9 . <br /> 9 <br /> 10 <br /> it <br /> 12 <br /> t3 <br /> 14 <br /> IS <br /> 16 <br /> 17 <br /> 16 <br /> L21 <br /> ' <br /> Relinquished by:(Signature) Date/Timaaa ! Received by:(Signature) instructions/Remarks: Send Resulls To: r <br /> Relinquish by:(Signature) Date/Time Received by:(Signature) KLEINFELDER <br /> 2825 EAST MYRTLE STREET <br /> STOCKTON, CA 95205 <br /> (2 09)948-1345 <br /> Relinquished by:)Signature) Dale/Time Received far Laboratory by:{Signature) <br /> Attn: w t <br /> r ff cT"h <br /> M-6U White-Sampler Canary-Return Copy To Stripper Pink-Lab Copy <br /> CHAIN OF CUSTODY <br /> T.._- . No - 1843 <br />