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,._ E o s e c o page of <br /> _ ( CHAIN-OF-CUSTbDY RECORD' e <br /> SAMPLER:(Sigttar�)- <br /> I I Date Shipped-/ / Carrier L-D C <br /> Phone / S .S % 7"� Airbla No. Cooler No. <br /> SHIP TO: SEND RESUL S Tp <br /> Enseco-Cal Lab Cuent Name fr 1 V -sTIF- (-jF I-- <br /> 2544 Industrial Blvd. Company_- f. rl [- ,'f.,- 2 <br /> r .�- <br /> West Sacramento,CA 95691 Address t I �1 i- /a F 7 1 T � , M1 c Cc <br /> (916)372-1393 l it F rl Y r r ro=- , ! -t y [+ S '/ f <br /> ATTENTION: Phone / L/+l"� I -j` "? I�`7 2 <br /> PROJECT NAME `//O C k-7-- iJ PROJECT NO. T l W 7.3 + P.O.NO.I` <br /> Relinquished b St azure) Received by: (Signature) Date Time <br /> Relinquish?/ by: (Signal e) Received by: (Signature) Date Time <br /> Relinquished by: (Signature) eceived lab by: (Signature) ate Time <br /> Relinquished from lab by: (Signature) Receive by: (Signature) IDatd- 'Time <br /> ' ) ANAL IS.REQUEST t LNee ; <br /> j �Sample ID �_ Sample, Datq/Timed - != Vim. (- , i }_ - ke .(,,`Sample Condition <br /> Number= — -Description Sampled Analysis Requested Upon Receipt <br /> / r <br /> 6. <br /> SAMPLES RECEIVED <br /> Special Instructions/Comments: GOOD <br /> _ <br /> NOTE: UNUSED PORTIONS OF NON AOUEOUS SAMPLES WILL BE RETURNED TO CLIENT <br /> Expected <br /> Analytical Immediate <br /> T.A.T's: _ Attention (g00% surcharge) _RUSH (go-l00% surcharge) Standard <br /> Cal Lab ID Number: (for lab use only) <br /> � t <br /> l <br /> Client Betaine White COPY Only (Revised 1/87) <br /> _ 1 <br />