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KLEINFELDER <br /> AMEWJW <br /> PROJECT NO. PROJECT NAME , <br /> RECEIVING LAB: <br /> 21 b33.0-, D I MEADL)LjVi6w SN D. NO TYPE <br /> L P NO. SAMPLERS:(Si nat /Number) N <br /> (P0.NO. OF OF yJ ~ U OI <br /> /S67 <br /> CON- CON- <br /> U INSTRUCTIONS/REMARKS <br /> DATE SAMPLE I.D. TAINERS TAINERS M <br /> TIME SAMPLE 1.0, MATRIX Q <br /> MM/DD/YY RN MMSSNt1 <br /> ZgZoO ' D" - <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> Y <br /> B I <br /> 9 <br /> ID <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> Il <br /> IB <br /> 19 <br /> 26 <br /> R= 1 i1 L <br /> --- Date/time pace by.(SiISi azure) �9.U_a Instructions/Remarks: Send Results To: F� J �N\ <br /> ( L 2t,JFhs \2 <br /> jr-"Al L FAsx 1oc)- "iLj4-D62 ( <br /> ellnqui by:( g lure) Datemme c ned by:($ amre) KLEINFELDER <br /> 1t� _ _ 2825 EAST MYRTLE STREET <br /> - owCl° e- f•c z v (� L Y 4� s FA 1 A I STOCKTON, CA 95205 <br /> (209) 948-1345 <br /> Re' quisbed b/(Slgmmm) Dalamme Received for laboratory by:(Signa re) <br /> Alin: <br /> M-60 Wblle-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY N° 1 2 7 7 <br />