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0 <br /> Chain-of Custody I ecord 17 4 6 5 <br /> oafs _ C) fags " <br /> I <br /> Pr*ct KOL: ZYANALYSES REMARKS <br /> Sampfers (Signature s �5 AddiliDnaf Corn"nts <br /> y�_ - <br /> 0 <br /> ei a�2 w ZZ E E �F <br /> 1 �} 616 <br /> XX s 61:&Ce n [ [ <br /> Tirn6 Sample �— a_ _ pup <br /> W ; W w W w -v LL U Z <br /> YV <br /> I <br /> -b I - -fin-zcZY <br /> I.aba�alory; _ Turnaround TEme; R &I�Itss io' <br /> Total No. of Containers <br /> cC. ' e <br /> quishe[lby ignalure}= Diatu; Saiinquished by (Sigrratura); .ate= Rellnquished by (Signature), date= Method of Shipment. <br /> I f <br /> P i ked Narrxe; 3 Pr aIt?d Narr[9Printed Name.- <br /> .1) 7iM Tame Time. Laboralory Commonis and Log No.: <br /> Ournparry. (: Ism Company- Company <br /> R6rioived by; Dale' Received try- Dow Re , ed by: � Dala: <br /> Prfn[od Narnr. -7 po.e: Printpt� Name: Printed ame- <br /> Irmo: Time: i rne: OP <br /> O88R391:r1}[ Cor}iUrY--IOIri1G6 <br /> Company; } <br /> C4rtaparty: Cnmp,Iny: � 1U! Weoa[n sj..e[, 12 111 F ioo, Of k14nU, CA 94 517 <br /> Phone: 556,0r2.41of) Fix 514-6-59-4541 <br />