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an KLEINFLLULK <br /> PROD. NO. PROJECT NAME <br /> (N� a <br /> 4' l NO. <br /> L.P. NO. SAMPLERS:(Signature/Number) /`!�/� <br /> (P.O. NO.) G cZ T OF �y V <br /> (3 11P (L <br /> CON. t Y <br /> DATE SAMPLE I.D. SAMPLE I.D. TAINERS ? �� �" REMARKS <br /> TIME 0 <br /> MM/DD/yy HH:MM:SS _ <br /> R L <br /> ) 7 <br /> T i <br /> ,r <br /> Relinquished by:(Signature) /Time Received by:(Signature) Remarks Send Results To <br /> KLEINFELDFR <br /> 9795 BUSINESS PARK DRIVE <br /> Relinquishe by:(Signature) DatefTime Received by:(Signature) SUITE D <br /> SACRAMENTO.CALIFORNIA <br /> �----'--- '-- '---'_-'�-� - (916)366-1701 <br /> Relinquished by:(Signature) DaleRime Received for Laboratory by: �l / <br /> Signature) <br /> J/1 <br /> / fq �aiL G� <br /> /13/ J LL. <br /> White-Sampie, Canary Return Copy To Shippe, Pink-Lab Copy <br /> N2 0 1 1 8 CHAIN OF CUSTODY <br />