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K L E I N F E L D E R <br /> PROJECT NO. PROJECT NAME RECEIVING LAB: <br /> 14 tj00*6. D 1 5 <br /> NO. TYPE <br /> LR NO. SAMPLERS:(Sgnalur tuber) <br /> (P.O.N0. OF OF <br /> INSTRUCTI9N8/REMARKS <br /> CON- CON- <br /> DATE SAMWE I.D. TAINERS TAINFRS <br /> TIME SAMPLE I.D. MATRIX <br /> MWDDM HH-MM-SS <br /> 1 pb 8 S61D0 j.- PIa <br /> 2 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> it I <br /> 12 <br /> 13 <br /> 14 <br /> 16 <br /> 16 ` <br /> 17 <br /> 10 <br /> 19 <br /> 20 <br /> Rel' 'had by:(Signat« Dale/1'me eived by: ure InstructirxlslRenuuks: Send Results To: <br /> KLEI <br /> FELDER <br /> Rnli h lure) Dala/ilma eivZ�k <br /> -TA 2825EASTMYRTLE STREET <br /> �Sp �� (209)948-1345 <br /> A 95205 <br /> qufsh bY: g 1 re) DateTme a ved for alory by:(S lure) <br /> VX <br /> M While-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY 2129 <br />