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� -�-� �,� .� .���s.�-•, .�.P. ,...�•= - :h�"' ..� `�-�_�_^��-- ._.._,sem___._ ,.� - _ - - <br /> ® CHAIN OF CUSTODY RECORD <br /> An <br /> SAMPLER (signature): <br /> 4,0,01 ee 6-00SYStems <br /> 4191-E Power inn Road,Sacramento,CA 95316 (916)452-Z901. <br /> Phone: .Fremont •Cosi:Mesa •Sacramento <br /> LABORATORY' SHIPPING INFORMATION: <br /> • Shipper <br /> Address <br /> Data Shipped <br /> TURNAROUND TIME: Service Used <br /> Attention: Airbill No. Cooler No. <br /> phone No. <br /> Relinquished by:(signatures) Received by:(signatures) Date Time <br /> Received for lanoratory by: i <br /> 4..Y.e <br /> 2 <br /> LABORATORY SHOULD SIGN UPON RECSIPT AND RETURN A COPY OF THIS FOAM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Saanoled Requested Upon Rccsiot <br /> gar <br /> PLATE °- 6 <br />