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• i ! _ <br /> Brooks Rand Ltd. Chain of Custody Record Pagel—od— <br /> Client a-mail addressa ,� Shi to Brooks Rand Ltd. <br /> 6 <br /> Contact PO# 3950 Avenue NW <br /> Address 1&3-7 sA l w R ra,)o Sampler's signatures Seattle, WA 98107 <br /> S i sic 70^J C9 X S � 1� 206 632 6206 <br /> 206 632 6017 fax <br /> Phone#. '4q W p a Client project ID F)AC, 'r C E x,10,1 e-mail brl@brooksrand com <br /> Fax # n4 / BRL project ID. M CA p l www brooksrand coin <br /> Ew <br /> Collection Miscellaneous Field reservation Analyses required Comments <br /> Sample ID <br /> w <br /> w <br /> L9 a <br /> ly;on v PLO L Q%4- . G E �,c bB,•S33 <br /> 2 M LTH Gfl <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Shipping carrier LL, I #of coolers <br /> Relinquished by '` Date b/t Time dj;2j Received by Date Time <br /> Relinquished by Date Time iu q� 0610,16- <br /> White: <br /> White: LAB COPY Yellow: CUSTOMER COPY <br />