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Project No. F 7Y7 — off _ V nl i c f <br /> Project NameCJC/t/ V ILC � <br /> -- �-� LEE ^IWL L HER;:-:�,,,,FF <br /> samplers: G.S. Nakano — Affiliations Leed�shill—HHprkkeenhoff, Inc. p Oa' \ <br /> (Name and Com— 3 a^9 $ Lieu t3 j 5F Cfl 90/)7 <br /> Signature) —^ — <br /> Shipped tot APPL, Inc . Shipped by: G.S. Nakano Date Shipped:Name �3 ° <br /> /-sir Name — - <br /> - L <br /> Address Address <br /> Fresno, CA 93711 5,&n F, a _— <br /> (209)275-2175 44;? • <br /> Telephone Telephone <br /> Collector's I Sample I Sample No. of I <br /> Sample No. Location 11 Date I Time ( Type I Containers) Analyses Requested Remarks <br /> M ____ __ ---" jj Lii SL�i2�2 9 SL -Z33 6CCLZ T <br /> '�iIIi�II-O-S C-- LS;LLii-JCSi- <br /> l>' M14Wq Lz �30Dloo _ L�_R4 SEWAP4�ESfW� <br /> — 1 — — <br /> — --- <br /> ------ --- --------- ---- <br /> u '/ .0011� �^ f�0 -- — --------- ~ ~ w m� <br /> ---- —j1_ �3� - --- ___� ff M ff o1 <br /> _ ________________— <br /> My/04 t I I �) M k r 1 �_ LL --------------------- ---------------------------------- <br /> r Dic,u —tt 1 '11 4—17cr7 � 2� /-J"— - ---2----- -- Pc{_ TCF - --- ----------- --- — <br /> -- - __--- — —__ -- ------- ----------- ------------------------------------- --- --------------------------------------- <br /> 6���i�2-- 1---------�3�22 2T -- _�Z--- - 3 <br /> Relinquished by: — Date/ Time Received y: PeltTime Relinquished by: Date/ Time Received by: Date/ Time <br /> lSi na relF IG AI ( I//,/S I (Signature) I I (Signature) —I - — <br /> �— ------ ---- <br /> - — ---- ---- <br /> Relinquished by: Date/ Time Received by: Date/ Time Relinquished by: Date/ Time Received by: I Date/ Time <br /> (Signature) !signature! (Sig <br /> nature) l5ionaturel <br /> Relinquished by: Date/ Time Received by: Date/ Time ILRelinouished by: --I Date/ Time Received bv: Date/ Time <br /> 1Stgnaturel gnnature —�II lSignStureT - — r ' �I ISignaturel <br /> — ---------------'---------- <br /> filet f62361.rcd <br />