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KLEINFELDER I <br /> PROJECT NO. l[�l PROJECT NAME RECEIVING LAB: <br /> ' t e <br /> 27 L7//7� v ao �Qn NO. TYPE <br /> LP.NO. SAMPLERS:(SignatureMumber) <br /> (PO. <br /> NO. OF OF <br /> r <br /> Y ! UCTIONS/REMARKS <br /> CAN- CON- <br /> DATE SAMPLE I.D. TAINERS TAINERS � � <br /> 11ME SAMPLE I.D. MATRIX `-J'1 <br /> M.WDDNY IiH-MM-SS N %- <br /> 1 1 p <br /> A- ? <br /> D�} :o� RM l 7 z-7 Wo;�e� 1 Q r cu <br /> 4 <br /> e i <br /> A <br /> 10 <br /> I1 <br /> 12 <br /> 13 <br /> 14 <br /> IS <br /> lU <br /> 17 <br /> 18 <br /> 1() <br /> 2U <br /> Relinquished by:(S inalure) Date/Time Received by:(Signature) Instructions/Remarks: Send Results To: <br /> ���3ati'l d8;25�h KLEINFELDER <br /> Rel'u fished ban re) uate/Ilme R=by ) 2825 EAST MYRTLE STREET <br /> 2STO825 EA ON,CA 95205 <br /> vUVuQ (209)948-1345 <br /> Re' quis ed by: i nalure) Dale/Tir11e R eiv for Lab to by:(Signature) Attn: <br /> M-§ Jhile-Sampler L Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY 3173 <br />