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CHAD OF CUSTODY RECO' D <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> SAMignature <br /> ROGER FOOTT ASSOCIATES, INC. <br /> _ 1450 Harbor Blvd.,Suite G <br /> Phone: y� 3L2 Sacramento,CA 95691 <br /> LABORATORY: SHIPPING INFORMATION : <br /> Lc(i Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: wpC Service Used <br /> AttentionAirbill No. Cooler No. <br /> Phone No. 116 32�—�5-'ej <br /> RelinquiSfibd by: (sigPature Received by:(signatures) Date Time <br /> R ved for lab atory by: �/n� <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WIT''//H/THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> 721a111 OTEX,. So/d� Pb, /C co <br /> . zo, G,-, CIO, A 3 60eo) <br /> s/a3/f6 Rc4z 4 1 Foy /«o <br /> S/ S — 3 OY ?-CbY /02 3 IfG <br /> SFF /kiao L.i�v <br />