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InKLEINFELDER <br /> PROJECT NO. PROJECT NAME ` 5 RECEIVING LAB: <br /> /: C` _ <br /> NO. TYPE <br /> L.P.NO. SAMPLERS:(Signature/Numb <br /> (P.O.N0. OF OF `� r <br /> >5 INSTRUCTIONS/REMARKS <br /> �� CON- CON- r <br /> DATE SAMPLE I.D. TAINERS TRINE IS V <br /> TIME SAMPLE I . MATRIX <br /> MM/DDNY HH-MM-SS <br /> /r pi -1� <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> J <br /> 8 <br /> 9 <br /> m <br /> tt <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> t] <br /> 18 <br /> 19 <br /> 20 <br /> Relinquishe ' Signature Ghat Ime Receive gnature� Instmc[ions'Hemarks: Send Results To: <br /> Rern sn by:(signature) ate/ti�' R rvea by: namrel / l �r KLEINFELDER 2825 EAST MYRTLE STREET <br /> 4 N92 711) o y c STOCKTON, CA 95205 <br /> (209)948-1345 <br /> Rel uish y'(Signature) ^ D te/Eime Receivetl for Laboratory by: nature) Attrn <br /> may. � G� I(oy0 //w <br /> M6 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy _ <br /> &AIN OF CUSTODY No 1 1 0 6 <br />