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' ' T,[ I�,` �, Sample Transportation Notice r <br /> RPlineniahing si•jnftr=on this docurrvrtt indicates tnat sample is being shipped in compliance 180 BLUE RAVINE ROAD, SUITE B <br /> Ari EkMFIONbll!KTAL ANAL-niGAL•LmoinAT4kY wih all ppnlilra lP! X18,Fed®r t national,2n9 intsmationat laws, egvlaWns and orInarces FOLSOM, CA 956W4719 <br /> 1 of any W nd.A:r TmdcsLimited asst,rMM no lisbirdy with respect io the ooll=ciion, handling or (91��985.1 D®0 FAX X916) 985-9®ao <br /> shi;pp't1 of th®sa carr las, Ralinqui�ing signature also indiaatos agroonoi,to hold harmless, <br /> CHAIN-OF-OUSTODY RECORD eattnd,andindornnifjAirToxicaLirritedaggajrtetany aaim,demand,*radar,ofanylsind,retated <br /> e–.— to the collodion,hand ing,or shipping of samples.G.0-T.1 lotlir a (80t} iG7.48�2. Page of <br /> Cam=Person rl t� Proillm Into. Tram Around u6ww a,ry. <br /> Time!Company Email 'Pressurized I <br /> i P.O. � },, - <br /> Address L:ity Stab® p Norm. <br /> l�no�e C Fax _ � Project* _ O Rush press anon Gas: : <br /> Gollemad iry:{Slrraatun) ' <br /> i�ro)Ect Mame w%ty {-ie <br /> Canister PressuroNacuum <br /> L2b 1':D.: Field Sample I.D.(Location) ;t.,'drlii Dace Time Analyses Requested n d. <br /> A6' /Z II l 3 ice- <br /> `, 1 I Rene ;• •'F aq . <br /> if <br /> i ' /r y • <br /> i <br /> Rein2=1 <br /> ttim) 7}BterTlrne ived Cly: (sig re) Dat�me Note: <br /> U <br /> : isignab.irel ime Received D Tme <br /> I (signature. fk�Tjme Rcx�siv sign re) Datetfims <br /> :•1.ab::' : tYipIr� t3' °' .�:Air�.'$ill - Ti�+r�riR ) •' "C�arer Natfi •� �iGlodn. <br /> 'Yeg :e.r •t7 <br /> Wark <br /> der <br /> Use : <br /> Only' <br /> N�Ir•.. Dune` � � . <br /> I <br /> FGna 1203 rte,I C <br />