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F <br /> Chain of Cody C'Nuanterra <br /> Record Services <br /> QUA 4121 1 <br /> Protect Date Chair Or Custody Number <br /> Clknl Manager <br /> r _ _ 63331 <br /> Telephone Number(Area CodeyFar NumberAdtirm <br /> Lab Number <br /> g-jo 2— Y Zr yb6 Page / of <br /> Oflstaw zp code s<re conracr tab Conran Analysis(Attach list if <br /> rn re soace is needed <br /> projwt Name CamerANaybdl Number <br /> I <br /> Special Instructions/ <br /> Con ud+ase OrdVA92U fe No Containers& Conditions of Receipt <br /> Matrix Preservatives <br /> Sample IV No and Description8 v o q o o Q x <br /> Date Time o (A z z 2 H z <br /> (C4nhw els for each sampte may be oomb&W on one wie) <br /> 7 <br /> </ <br /> Z <br /> 3 �'l <br /> Pass"Hazard ldenhficabon Sample Disposal <br /> (A lee maybe assessed It samples are retained <br /> ❑Non-Hazard ❑Flammable ❑Skin trntarrt ❑Polson 8 Unknown 1E3Ret.,r,To awnr ❑Drsposat ay Lab ❑Archive For Months longer than 3 months <br /> Tum ArwmW Tone Requited �� DC Requirements(SpecoW <br /> ,as <br /> ❑24 Hours ❑48 Hours ❑ 7 Da [:114 Da ❑ 21 Das ❑Other i.9N — _ <br /> 1 Reh 8y <br /> Da to Time f R �� Date Tine <br /> 7• -17 7 WAA <br /> 2 R Da T+me 2 Recwved 8 Date Tune <br /> 3 Ratk9+ ay Date Time 3 Received y Date Time <br /> comments <br /> DISTRIBUTION WHITE-Stays with the ,CANARY-Returned to Chen Hirth Report, PINK-Field Copy <br />