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M CHAIN OR CUSTODY RECORD <br /> SAMPLER (sigpature): � � A�T,Df%G'd G�OSYStE'/T75 <br /> 4, / 4191-E Power Inn Road.Sacramento,CA 95826 1916)452-2901 <br /> Phone: ��.: 4 r.j -7 Gn/ <br /> -- — --�—�- +Fremont •Costa Mesa •Sacramento <br /> LABORATORY: / SHIPPING INFORMATION: <br /> Shipper <br /> - Address <br /> Date Shipped <br /> TURNAROUND TIME: �K'� 'u sycs Service Used <br /> Attentionla` �t fu r,srP Alrbili No. Cooler No. — <br /> Phone No/,?— — - <br /> Relinquished by:(signatur") Received by:(signatures) Date Time <br /> Received to laboratory b ? Y�e <br /> LABORATORY 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. Identlflcation Sampled Requested Upon Receipt <br /> u0 <br />