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Ch ' IN OF CUSTODY RE(. DRE <br /> SAMPLE-, gi naturel: �` -------- <br /> � <br /> f 4191-E rower Inn Road,5aLramento,CA 95826 {916}451-2401 <br /> Phon6r - <br /> �•� � ,� •Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INE'ORMaT. 10W <br /> Shipper _ ! <br /> Address <br /> Dale Shipped <br /> TURNAR0UND TIME: C>7 ��� Service Used - <br /> Attention' l 9 Airbill No. � Cooler No. <br /> Phone o. <br /> Reoli i hed by:{ i r s} _ Roc Neat by:(sign.�t -es) Oale Tlmo <br /> Reeeive laboratory by: <br /> �� � In-2.5'•K+� 15•� <br /> ,,s ..,,,,.-LABCRL ORY SHOULD SIGN UPON RECEIPT AND RETURN A CORY OF THIS FORM WITH T14E <br /> LABORATORY RESULTS <br /> Sample Site pate Analyses Sample Condition <br /> No Identification Sampled Request-nd Upon Receipt <br /> W-L -M,,iz-M.az <br /> 3S'053-1 °a� �P TSH r3T — - - p h`CG <br />