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KLEINFELDER <br /> PROJECT NO. PROJECT�N1AME RECEIVING IAB: <br /> r Z7 7 6)24 vIT/C¢_ V^! / /✓/E� NO. TYPE <br /> LP.NO. SAMPLE (Signature/ or) <br /> (PO.NO. '3 7 <br /> O�-0 (�— OF OF y <br /> V � INSTRUCTIONS/REMARKS <br /> CON- CON- <br /> DATE SAMPLE IJJ. TAINERS TAINERS <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DD/YY HH-MM-SS <br /> 3Zs O �I:00:00 I �'Z S� W Z Jt 45n <br /> 2 1' II :01 :00 0 3 k,45 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Relinq ed by:(Si t Date/Time Race tl by: ignatu Instructions/Remarks: Send Results To: <br /> KLEINFELDER <br /> Relin by IS nature( Date/Time R e d by:(Sig e) � 1p 2825 EAST MYRTLE STREET <br /> STOCKTON,CA 95205 <br /> '�v 3a (209)948-1345 <br /> L 'wgmshed b ignatdre) DateRime Received for Laboratory by(Signature) Ann <br /> M 60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY <br /> No 1827 <br />