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MWAM M M M MM MM MM M MM MM MM <br />'M a <br />AirSample TransporUtion Notice <br />O <br />Ralinquialhing signalure oft t'lis document ircl[catas [hat savip *:. is bcft s-ipped In coraptliance with ISO BLUE RAVINE ROAD, SUITE 0 <br />F-11 applicatfe lural, $Wte, Federal, national, and ir". rrnffbns.0 laws, regulators and crdirAwicog of FOLSOM, CA 95630-4719 TOXiC.5 LTD. any Id-nd. Air TE)xiE;F. Limited q-sw ms no I labMity with re3pW tc 1hG coll6diord, haidling or shipping <br />-cf these qarnM.!�. Relinquiah ng s9nttum also indicates agreement to hold harmless- datrd, <br />CHA(916) Mrl 000 FAX (91 9&5-1020 <br />IN -OF -CUSTODY RECORD anti indemnity Air Toxics limitod aQainsst any oUrn, demand, or action, of any kind: related to the <br />cdle--tion, handling, or shipping ofsamples. D.O.T. HcOre (80C.)467-4922! Pag T of <br />Pro*1 ManagerProjectInfa: L* <br />—Z— Turn Around .tw 0 -kr <br />Collected by: iprint and sign ZA, -nrne! -PresStirlZed by <br />P.O. # F-) Normal <br />cz, <br />compary, Yr, }ate:'- . . ahn <br />Form 124 -wi i <br />