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PROJ. NO. PROJECT NAME <br /> NO. <br /> L.P. NO. SAMPLERS:(Signature) <br /> OF <br /> x <br /> CON- <br /> DATE SAMPLE I.D. TAINERS REMARKS <br /> Relinquished by:(Signature) DatelTime Received by:(Signature) Remarks <br /> Relinquished by:(Signature) DatelTime Received by:(Signature) <br /> Relinquished by:(Signature) DatelTime Received for Laboratory by: <br /> (Signature) <br /> Canonie Engineers 83 W. March Lane, Stockton, Ca. 95207 <br /> White-Sampler Canary-Return Copy To Shipper Pink.-Lab Copy <br />