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CHAIN OF CUSTODY RECORD <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> SAMPLE lgnature}: <br /> 6 J ROGER FOOTT ASSOCIATES, INC. <br /> 7450 Harbor Blvd.,Suite G <br /> Phone: �K. 3L2�",D J-9 D Sacramento,CA 95691 <br /> ABORATORY: SHIPPING INFORMATION: <br /> /lohr/c �� Lcli 1, Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: wrc Service Used <br /> -Attention: c / Airbill No. Cooler No. <br /> 'hone No. <br /> —ielinqur ed by: (si aturs Received by:(signatures) Date Time <br /> / L <br /> R c 'ved for lab story by: <br /> .ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A OPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> _ No. Identification Sampled Requested Upon Receipt <br /> Y.oio Pb, <br /> Lr• C� CJI, Pc 3(Yoea <br /> 5 a- z 4 y2,1 � �/ 5/��/jb ��'gia <br /> 3 oy7-cby 5-/') 3�fG <br /> ��, .� .S;Hc gi <br />