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WKLciNl tLDrK 4 <br /> PROJECT NO. Q PROJECT NAME ^ \ RECEIVING LAB: <br /> 3 DO g� . EO' /� C)x Ph NO. TYPE �� 1 <br /> L.P.NO. SAMPLERS:(Signature/Number) <br /> (P.O.NO. OF OF 5 <br /> INSTRUCTIONS/REMARKS <br /> 7 <br /> CON- CON- u �l <br /> DATE SAMPLE I.D. TAINERS TAINERS \ <br /> TIME SAMPLE I.D. MATRIX / <br /> MM/DD/YY HH-MM-SS f <br /> 03 /009 - 14g3t C'1 <br /> 2 <br /> 3 <br /> 4 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> ,5 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Relinquished by:(Si nature) DatefTime Regi °°�(Signature) Instructions/Remarks; Send Results To: <br /> I P'S v J / / / KLEINFELDER <br /> RElinish by:(Snat re) Date/Tims R K, by:(Sig e) 2825 EAST MYRTLE STREET <br /> STOCKTON, CA 95205 <br /> �G i3 zGU (209)948-1345 <br /> R wished I; gnature) Date/Time Received for Laboratory by.(SIgnatu Attn: J <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY N° 1 1 10 <br />