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• 03~ (W <br /> CLEARWATER GROUP <br /> Subcontracted Microbiology MNA Pronling Assays <br /> Wformed by <br /> Cyto+Culture Environmental Biotechnology lab@cytoculture.com <br /> CRAM OF CUSTODY FORM <br /> Project Nam • Pro ect No CLEARWATER Purchase Order: <br /> �jf}�� �ClLr�uU I7�� <br /> CLEARWATER Client Name: CLEARWATER Project <br /> Manager: Brian Pierskalla <br /> Address to Send Results: <br /> 229 TewbbM Avenue,Pt. Rfchmon CA 94801 <br /> CLEARWATER Email for Sending Data: CLEARWATER Client Contact: <br /> brianpadearwate a .cam <br /> CLEARWATER Tel for Follow-up: 510-307-9943 1 Sampler/Recorder: <br /> scae LgA <br /> andetial MEM— US ai_ <br /> Aerobic Anaerobic Anserobl <br /> HydMewbon Toter Hyftcwbon role! xlbate lmnWsn <br /> rrm s+rllate <br /> r N ORP <br /> H DO s0-3204 &=Qft&F*Q7n <br /> T Y►'l�- IG a3 1�0 J <br /> ` L/403 /so <br /> 16 IL <br /> 71 1 <br /> � 17 <br /> Chain of Custody Record Signature of this form consmutes a firm Purchase Order for services, <br /> Relinquished Date/Hr: Payment DUE on Reporting Date <br /> Received by: <br /> Date/Hr- <br /> r CytoCulture Lab by: Date/Hr: CytoCulture Tel: 510-233-0142 249 Tewksbury Avenue <br /> l0 10 Lab Service Fax: 510-233-3777 Point Richmond,CA 94801 <br />