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M. <br /> t s ._ _ <br /> ill <br /> CHAIN OF CUSTODY FECOSS9 <br /> Sa L R ( ' atur®): A,00%a' GeoSvSt�ms <br /> 4191-E Power Inn Road,Sacramento,CA 95826 {9161 452-2901 <br /> Phone: g r�' ' SL ago •Fremont •Costa Mesa •Sacramento <br /> LAB RATORY:_ <br /> "41e t�n.c� <�+b SHIPPING INFORMATION: <br /> �... �• — _ _ Address <br /> Date Shipped <br /> TURNAROUND TIME: /���� Service Used <br /> tLl� Attention: l�/ri� �ar1l, i.OD AirhillNo. Gooier No. <br /> Phone No. 9�C� Z}O <br /> R istt y:(signatures) Recei 11y:lsignat reser Date~ Time <br /> Re vitt far laooratory by. , <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 /i• In <br />