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r` <br /> CHAD. OF CUSTO®y REC6. ,® <br /> 5. .,PLE gna re): <br /> Y <br /> dpo/fwd �eosys���s <br /> Phone: d3�;5 :lrcanr� 01 (1 Sure H rrrme)iiI.CA 44ipi � r <br /> LABOR <br /> --- <br /> SHIPPING INFORMATfON: <br /> a <br /> araetir-��r�r> <br /> Shipper 4 <br /> Address <br /> TURNAROUND TIME: yJkX , Date Shipped <br /> Service Used <br /> �Proiuet Loader: d <br /> �L Alrbill No. Cooler No. ._.�_ <br /> Phon■ --(nz 5J X190 ' <br /> Rolf <br /> hod gn �.. <br /> Y Received by:(signature.,) to Tfma <br /> -------------- <br /> 8 <br /> y <br /> Recelred�f abora tcry y: <br /> $Lf fiATORY SHOULI] SiGs"1 t1pQP;1 RECEIPT AND RETURN A COPY OF THIS FORM WITH.THE <br /> e <br /> LABORATORY RESULTS <br /> Ssrnp+e SICe Date <br /> NO. „i identificationSampled Rcnal t�es Ssmpla.Condition <br /> '� Upon Receipt <br /> -------------- <br /> --------------- <br /> -_. �� <br />