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- - r-- :' E n s e c o - _ Pere_of_ -- <br /> ~r r CHAIN-OF-CUSTdDY RECORD <br /> SAMPLER:(Sl' +u1 ) <br /> B ," <br /> / - Deb Shippedt/ / Cerner <br /> Phone 01 ♦' 1• )�? / A1rbi11 No. Cooler No. ( <br /> SHIP TO: SEND RESULTS TO: <br /> Enseco-Cal Lab Came Nese 7 F <br /> 2544 Industrial Blvd. 0 Connpmy ;1 .• r" `• - ' , e <br /> West Sacramento,CA 95691 Md -// <br /> rw ' Ili' , li'�' !'- 1 r a • _ <br /> (916) 372-1393 - 7' _ r c — <br /> ATTENTION--- Phone - 7 -7 7 <br /> PROJECT NAMEN PROJECT NO. CY Y 1 _J'.O.ND.i — <br /> a <br /> Relinquished by: i ature) /- Received by: (Signature) Date - Time <br /> X, <br /> Relinquished by: rSignatul/le) Received by: (Signature) Date Time <br /> Relinquished by: (Signature) RecevEd a�lab by: (PSignature) Date Time <br /> Relinquished CXoi:6 lal by: (Signature) Re6mve l'by: (q$ik artu e <br /> (TY H AN•AL,YSI8,ItEV fWT�L <br /> �L'S✓ 1 1, r" X <br /> a<00apVlaitr-� C Sample 9, 1 0%ty/Tim ` f= ' t ( � r Sa tU OnditlonS - <br /> ,14iimb�r ' �e(cripti ,( � Sampled ,� Analysil Requested Upon Receipt <br /> t •)� ;e/'L��L i-' —1 X <br /> L 47 <br /> Z�C t1l - (/till I /i lynd/, — <br /> / <br /> fair`• !. -/ ) 'la )/: C )� )• / /-/ <br /> Vc., (1 -1 i4-:� 7 Ic:y'.5 <br /> ,' tet'!' ' - t/::%/ ) ! ._ /3' ) '( ' t• o �/ , <br /> Special Instructions/comments: IN Qd CONDITION <br /> NOTE• UNUSED PORTIONS OF NON-AOUEOUS SAMPLES WILL BE RETURNED TO CLIENT <br /> Expected <br /> Analytical Immediate - <br /> T.A.T's: _Attention (t00% suehege) _ RUSH (so-l00% surehwee) Standard <br /> Cal Lab ID Number: (for lab use only) r <br /> Client-Retains;White Copy Only (Revised 1/87) . <br />