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t 1 <br /> CHAIN OF CUSTODY RECORD <br /> SAMPLER signature)- <br /> - <br /> H A,ov/ied GeoS�ster�s <br /> 4191-E Power Inn {toad,Sacramento,CA 95826 (916) 452_2901 <br /> Phone �'""'� - R� - _ . Fremont -Costa Mesa •Sacramento <br /> LABORATORY' SHIPPING INFORMATION <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME GtA-Fel5" Service Used <br /> 1 Attention Airbill No Cooler No <br /> Phone No <br /> Relinq°i�sy�d by (sign r R i aturAs) Da Time <br /> -(�� 17V <br /> l� � <br /> 0,7 <br /> Receiv ,fsr laboratory by <br /> WLABORATORY 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 /> S <br /> -,36- � . 032033-j- 9/2 Ab'15' 77-/7/ 1377X <br /> rY T7'/�Tf3/� <br /> I <br />