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CHAIN OF CUSTODY RECORD <br /> Tel.(916)325.2580 <br /> FAX(916)325-2570 <br /> AMPLER (signature% <br /> ROGER FOOTT ASSOCIATES, INC. <br /> [! <br /> 1I 1450 Harbor Blvd.,Suite G <br /> hone: j2 a- Sb'U Sacramento,CA 95691 <br /> ORATORY: SHIPPING INFORMATION : <br /> e no" C1 Ew, Shipper <br /> Address <br /> Date Shipped <br /> CURNAROUND TIME: 1 � //�� rg �1r5 Service Used <br /> ,t )rltion: e4-1- A C i4v & AirbillNo. Cooler No. <br /> hone No. 32s- 25 0 <br /> i, nquishe by: ( i nat ) Receiv d by:lsigna res) Date Time <br /> !116 10'kj <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 /> y - N ny -1 -00`i 1-�s- 9/ TPNH QTXI <br /> S-y -vJ <br /> < _4 - S <br />