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EUREKA WBOWORIES. -INC. 4P <br /> 3401 La Grande Boulevard Contact: L, <br /> SACRAMENTO, CA 35823 1) `U' r . <br /> TEL (916) 428-193 �j5 w Telephone : <br /> CHITIN OF CUSTODY RECORD <br /> Project Ref f ELI Order 1 Project Name Analysis Required Comments <br /> SAMPLERS (Signature) <br /> Client Sample fd Sample Location D+t+Ru*+e Container 4vb�Z <br /> Type - � <br /> o <br /> 'QE y� <br /> � 4 <br /> •l �`f �, ccs/ <br /> Rerinqu6hed by•n,-.r Daterrum Received by: Re{ia-,quiahed by:aw Dotetrwne Received by: <br /> Rdirpustnd by 4..r..�' DrtafTrt►e Received by:w-•.� Reiinquohed by:a" r Datafr4ne Received by rs.._. <br /> Per u4hed by:u.- w DatelTrne Received ter Laboratory by: 6.....• DatelTxno <br /> �� ,_ /rj/tea' ►,�-0 SLI Sf�-01 <br /> � C.�.: <br />