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CHAIN OF CUSTODY RECORD <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> %MPLER (signat <br /> ROGER FOOTT ASSOCIATES, INC. <br /> lane: — 3�S— C Ct 1450 Harbor Blvd.,Suite G <br /> _ Sacramento,CA 95691 <br /> '30RATORY: SHIPPING INFORMATION : <br /> Shipper <br /> Address <br /> Date Shipped <br /> URNAROUND TIME: __ l r'r k Service Used <br /> antion: T 4 A Q( 4 _ AirbIII No. Cooler No, <br /> none No. 3 ZS -aS''o <br /> -'inqui ed by' (signatures) Rece ved by"(sign es) Date Time <br /> U Ju <br /> Received) for laboratory by: <br /> ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> 047-cec1 =T�j{5 , CZTXE <br /> —IS- Q qtr. <br /> `-- - <br />