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�. CHAI!!'oF CUSTODY RECORD <br /> TeL(916)325-2580 <br /> d FAX(916)325-2570 <br /> SAMPLER (signature: <br /> ROGER FOOTT ASSOCIATES, INC. <br /> __ 1450 Harbor Blvd,Sute G <br /> Phone: '� S 2 C Sacramento.CA 95691 <br /> LABORATORY: >> (/� SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: �� L Service Used <br /> Attention: ���� `��� M Airbill No. cooler No, <br /> N Phone No. (1-)16) ?.J:,7- a' <br /> Relinquished by: (signs res) Repived by:(sign ures) DIte Time <br /> // 3 I Z :IS <br /> or laboratory by: <br /> LABORATORY SHOULD SIGN UPON RECEIPT RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> L/ <br /> LN <br /> �F 0 <br /> T� ua ..--r-�a �w�- .�"�'.." a}`�. �r �-tea - =3-i_� - - g-_ - •-�di i-_,---•-� _-___. .L ..._._._-. ..'ii'P :, <br />