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..MAIN OF CUSTODY REC( ID <br /> -_ �SA QRS:(sr <br /> r _ „ J�r�--�••••-� SHIPPING INFORMATION <br /> SN(P "J: (�an i<�� se r, .r., Shipper <br /> _ <br /> Address 7`�.-t �rSrsrel1- R-,fitCA <br /> n� ai jrF <br /> Date Shipped <br /> Shipment Service <br /> Airbill No. <br /> ATTENTION: Cooler No. <br /> Phone No. _ <br /> Rol shed by: Received by:/Srgnarurel Oate/Fime <br /> J c <br /> R guished by:(Signature) Received by:(s,gnaiurat Date;Time <br /> el ngwshed by:(Signature) Received b is <br /> Y ,gnanret Date/Time <br /> — RBlin uished b (S+ nature <br /> q Y Q ! Rec ive for laboratory by'.rsrgnarare) pate/Times,e <br /> r �/ 1d <br /> 'Analysis laboratory should complete,"sample condition upon receipt",secti d below,sign and return top copy to <br /> J. H. KLEINFELDER&ASSOCIATES, 1975"E"Street, Fresno,California 937 <br /> «• Sample Site Date Analysis Sample Condition <br /> Number Identification Sampled Requested Upon Receipt <br /> ;-1 <br /> rcSC��rf�r311 <br /> ry� r,,•�..!<t s-Ho-A 15 ►B(07 _G Tui?,1 t4' - " _ <br /> Cc C� .J <br /> Z6-rt : <br /> 3W 1 �• <br /> f3-3- S•� .� >-1�1a7-� -?_�-t:�-- [t,-�-c.t fi <l-., c.c„ r�,.. , it <br /> - <br /> LAB INSTRUCTIONS: Laboratory reports should reference and be billed by site IDw and contain the following: <br /> (1) sumary of analytical methodology and QA work (blanks, spikes, duplicates) <br /> (2) dates for (a) sampling. M_lab-receipt,_(c1_extraction,_(d)-injection/analysis-- --- - -- ._ -- - -- —----- <br /> l 3 detectionlimits for all constituents analyzed for and reporting of all constituents detected which were not <br /> specifically designated <br /> (5) <br /> White - 3=oler Canary - J. H. Kleinfelder 8 Associates Pink - lab Courtesv Coov <br /> 111E �ODUMO 1- OF 'TWS <br /> ��rr CANNOT <br /> N T �� <br /> DUE JLU THE <br /> t <br /> CaMI'TION OF rTHE ORIGINAL <br />