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KLEINFELDER � l <br /> PROJECT NO. <br /> �/ PROJECT NAME ,Qp a RECEIVING LAB: <br /> S l�-/,tTO� NN!-� — NO. TYPE <br /> e <br /> L.P.NO. SAMPLER •(SignatureJNumber) �' <br /> OF OF INSTRUCTIONS/REMARKS <br /> CON- CON- 3.,,..5-c6o,y <br /> DATE SAMPLE I.D. TAINERS TAINERS `` <br /> TIME SAMPLE I.D. MATRIX J <br /> MM/DD/YY HH-MM-SS V <br /> 1 2 L -fit T&�j ekf6 1VM <br /> 2 3 Ll' C' rot�ttv� rP Ki <br /> 3 <br /> 4 <br /> 8 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 17 h <br /> 18 <br /> 19 <br /> 20 <br /> Relinquished by:(Signature) Date/Tkne Received by:(Signature) /� Instructions/Remarks: Send Results To: <br /> VJ � i <br /> ` �✓5 � KLEINFELDER <br /> R inquishad by:(Signature) Daterl-ime Received by:(Signature) 2825 EAST MYRTLE STREET <br /> STOCKTON,CA 95205 <br /> '\ (209)948-1345 <br /> Relinquished by:(Signature) DateTme Received for Laboratory by:(Signature) C Attn: <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink_.Lab Copy <br /> CHAIN OF CUSTODY No 2 61 1 <br /> - <br />