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CH _;N OF CUSTODY RE(-.,)RD <br /> SAMPLES (signator <br /> Applied GeoSystems <br /> r4191-E Power Inn Road,Sacramento,CA 95826 (916)452-2901 <br /> Phone. �SC�1 �� Z40 ( • Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION : <br /> /I r'61 6 ctt'en L✓-e,C Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: 7ty 1 Service Used <br /> Attention: / '51;h^s � Airbill No. Cooler No. <br /> Phone N1 I ( `/!j ^ '7-,? <br /> Relinggi5hed by: (siat R i b :lsi n tu <br /> yra ) \\ Date Time <br /> C$! . ) ti �Ib <br /> Received-for-iaboratory by: <br /> V A V � Tort <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND—RETURN—A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> S-S- wo 03$o4s-I 4 u TE4f�ssorz3s4o� e� <br /> CLI R(i C9010 mlf7,40) <br /> h GTm's C IGP - P4 <br />