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'� r� r� rr rr rr r � 1• r r � r � r r <br /> FEDERATEX. SURANCE <br /> P. Box 586, Citrus Heights, CA 95611 <br /> pble. <br /> ()C 0 R P 0 R A I E0 CHAIN OFCOSTODV <br /> THE ASSURANCE of 0 U I E It r �— Novaio, CA, 1 I Digital Drive, 94949 <br /> Phone (415) 883-6100 Fax (415) 883-2673 <br /> C011S111lant'S NJIM u I,-,, =MimL of IntinrLd Vl'\&(�h- Pig,- l oI I <br /> AddrLss 1 + �`i `�+ I l ����1 i �A �'� <br /> L r / -[..'�� FLdLralLd SHL Luc,dwn (' <br /> Project Conlan "�t-- 1� AA-W>>��ll PhI)M # �ex L 1 r �C ' FLde reELd Culuau c t t C 1//QII <br /> Sampled h { nnt) 0,1 �J Sam)ILr s SE IlduirL �t��_(y �— Ptw[i� # 7 '+ ? Fe7tlA� 7)� <br /> Shipment Method ;1 AiJU, ` `�,� Consultant PropM # { �l KdLraltd Chun # ` -'� I <br /> TAT ❑ 24 hr ❑ 48 hr ❑ 72 hr Standard (10 day) ANALYSIS RE UIRM Sample Condition as RcLLEVL+1 <br /> TLnip+.ra[urL" C <br /> CoolLr# <br /> Inbound Seal YLs No <br /> rnn� — Oulhound SLal YLs No <br /> �� 'MV� <br /> Sample I)cscnpunn Cullecllon pial 13t 1'rav of PACT ¢o MF3 <br /> Y oo <br /> 1)ale/IIML So+ aur Cunt SAn)pIL# sQ xQ COMMENTS <br /> 0.0. 0.0. <br /> Rel cashed by/Affiliation Date Time Accepted by/Affiliatton Date Time Additional Comments <br />