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CLEARWATER GROUP, INC. 4720 CGI Project Contact .n' ' <br /> 1125 Atlantic Avenue, Suite 102 - - - - <br /> Alameda, Califomia 94501 - - CGI Protect Number "\C) — <br /> Phone (510) 337-8730 <br /> Fax (510) 523-09$4 _ Page"S-of <br /> Client �' ,1 Contact re. Phone# _ w Fax # <br /> Site Address tOo `Z-- Co'� -- - - - - =- - <br /> Sampled byl� F Sampler's Signature , Shipment Method -�u� CV u?�n L <br /> ,r _ <br /> Laboratory �' �.C.LC Lab Address a0. Lab Phone# <br /> TAT 24 hr ❑ 48 hr 72 hr 10 day (std ) X ANALYSIS REQUIRED <br /> PRESERVATIVES <br /> SAhIPLC COLLECTION MATRIX NUMBER b a o = - <br /> DESCFUMON DATE/TIME SOWWATER CONT �� o $ Comments <br /> M _3D I - - -- <br /> �+ Ly- <br /> t x, t - - <br /> h{LJ-q'-(D - - -— <br /> IAW- ` bD r - - - - <br /> Ltl'S`Z`7 _ - -- - <br /> - ditional Comments <br /> Relinquished y/AffiIlation Date Time Relinquished by/Affiliation ate Time Ad _ - <br />