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c,r-iH1N UF- CUSTODY RECORD <br /> 0 q Tei.(916)325-2560 <br /> FAX(916)325-2570 <br /> SAMPLER i nature <br /> ROGER FOOTT ASSOCIATES, INC. <br /> �1�6 �Z _ �� 1450 Harbor 8tvd-Suite G <br /> Phone: Snramento.CA 95691 <br /> LABORATORY: SHIPPING INFORMATION : <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME : 22 _�k� Service Used <br /> Attention: P--LLfq st°WhELC Airbill No. Cooler No. <br /> Phone N o. 916 <br /> Relinquished by: (signatures) Received by:(s'gnatur } r. Date Time <br /> j' <br /> 'u <br /> v � <br /> S � <br /> I <br /> Received for laboratory by: j <br /> i <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. identification Sampled Requested Upon Receipt <br /> CiQmQvytS la 1(� X13 HDL�J +nom <br /> (SET-) L:-:.Pn 797-1 <br />