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Y 1 <br /> Zt <br /> ...�..M...,.,...,..ti....ears.,....�:..,•.aw..w.....,.a-...........,........,_.,.�... <br /> ANALYTICAL LABORATORIES, INC. Date Page of <br /> PROJECT NAME GC GUMS INORGANICS OTHER REMARKS <br /> CC <br /> PROJECT NO. <br /> SAMPLERS(SIGNATI! E} z <br /> CJ•Ia <br /> Z LU <br /> (13 <br /> - - �J I47 O O N N J V W <br /> , r <br /> PRINTED NAME 1= o o v U 4 Lb c� � w w � <br /> SAMPLE NO. DATE TIME LOCATION m to to t p rn ro CV C3 z <br /> t <br /> R L4N01 IY�I} 13� DATE RECEIVED BY DATE RELINQUISHED BY DATE RECEIVED BY TE TOTAL NUMBER <br /> J"14:f A, OF CONTAINERS <br /> Signaturs !�f Signature, Signature Signature METHOD OF SHIPMENT <br /> Printea Nam TIME Print ame TIME P d Name TIME r nls TIME <br /> _ f <br /> r? t,�' �j•�� SPECIAL SHIPMENT HANDLING <br /> Company Company Company Company OR STORAGE REGUIREMEMS <br /> RELINQUISHED BY DATE; RECEIVED BY DATE RELINQUISHED BY DATE REVID BY(LABORATQRY) /DATE <br /> Signature '. Signature Signature swature <br /> OMER <br /> TIME TIME TIME 710.c <br /> Printed Name,- TIME Printe�Na'me i <br /> E WEST LAB �ltia <br /> Company Company Company Company r <br /> 60OW North Market Boulevard Sacramento,CA 95834 Phone(916)923-0840 <br /> s, <br /> • <br /> v <br />