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r r r r r r r r r r r r r r r r r r r <br /> SMC LABORATORY INC. <br /> 211 Aviation Street <br /> CHA2N OF CUSTODY RECORD Shafter, CA 93263 <br /> Location of Sam <br /> pling collector Client <br /> Name: Q bar t- Q•G a Name: N- ame: <br /> . Company: Company: Company: <br /> Address : 7n o W. i Address : Address : <br /> Telephone: ( } Telephone: ( ) Telephone: ( ) <br /> Bi11 to Property owner ( ) Bill to Collector ( )' Bill to Client ( } <br /> 5amvline Method: $amDIe Type: ?reservation Methods: <br /> Sample No . Date I Time Description Analvsis Reauested Laboratory No. <br /> 1 t/:r r td :say is Ter / 'Ti7 s 20 3 <br /> •t ,. 2, L( <br /> �r <br /> ' I <br /> � V <br /> Relinguished By: Company: "V44Mc.yr F� rjr, y r eP s Date: Z T 9/ <br /> Received By: Company: SM L r, �'� Date: <br /> _Zglingu' shed By Company: Date: <br /> Received By: � Company: Date: <br /> Sheet of <br />