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� � � � � � � 1. � _ �} !� 5� � � ■� � � � <br /> Sierra Laboratories,Inc. CHAIN STORY� + <br /> 1525 Endeavor Place 714-758-9988 Date: f age r ofRECOp <br /> SIERRA Suite FAX: 714-758-9692 <br /> f—C. Anaheim,CA 92801 L <br /> Client: Client Proj. Name: Analyses Requested <br /> Address: �r��� 1Cs CSS l C�t'�C.� Client Proj. No.: <br /> tr-x?y I {�E�i �G For Client Use: <br /> Turn around requested: <br /> _ Immediate Attentlon <br /> Client Tel.No.:--w I•�� -7C`� i 7'400 Rush 24-48 hours <br /> •fir Rush 72-96 hours <br /> Client Proj.Mgr.-?4f.L�V\ _ Mobile Lab v <br /> Normal ^l` <br /> Client Sample No. Date Time Sample Matrix Pieservalives Container No.of <br /> Con- <br /> Liquid Solid Yes No Type tainers Remarks <br /> e 3 sS <br /> 15' <br /> 5 -- l 1�•� <br /> S --Z�-- <br /> k <br /> Sam isU? l <br /> Received by: Date Time Total No. of Containers <br /> The delivery of samples and the signature on MIS <br /> chain of cuslody lorm constituies authorization <br /> R <br /> .(Isd bL D to Time Received by: Date Time to perform the analysis specitled +bone under <br /> / Sierra's Terms and Conditions, unless otherwise <br /> '7,7K agreed upon In writing between Sierra and client. <br /> Relinqui she f <br /> by: D le frime Rec d at Laboratory D le Tim eM Total No.of <br /> I <br /> 5-,O� Containers Recd.: <br /> `� � •ed>,r;' .,i:..:>�=a .,y5..,y:�;. �;a=�� .s :,t<ur a+,r�-r q t <br /> s5pectal Instructionrj ;x >x GbnP\lrc Z g-- <br /> [A+ IAPpmropplerslaretecefvt'd= 4� `; <br /> Sample Container, , <br /> r,,ta � ..Intact`�,��� ��"'�.��.. ���,��,r:r �` �:,:f.�Properly�l:abeled ��.+-�� �r•� i��� <br />