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CHAN OF CUSTODY RECORD <br /> SAMPLER (signature): ` <br /> .aPP/led �eoS---- <br /> 4191-E Power Inn Road,Sacramento,CA 95826 (9161452-2901 <br /> Phone: •Fremont •Costa Mesaa <br /> S cramenta <br /> LABORATORY: SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: _ _ Service Used <br /> 1 Attention: Alrhill No. Cooler No, <br /> Phone No. <br /> Relinquished by:(signatures) Received by:(signatures) Date Tune <br /> Received for Laboratory by: <br /> _ _ABORATORY SHOULD SIGN UPON RECEIPT AND 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 /> PLATE <br /> _ <br /> P-5 <br /> EXXMPLE OF CHAIN OF CUSTODY RECORD <br />