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ANN dillills"d <br /> razan DATE �ZZ PAGE 4F <br /> KRAZAN&ASSOCIATES, INC _ -PARAMETERS - -- <br /> ATTN T I cc <br /> 215 WEST DAKOTA A ENUE a z <br /> CLOVIS, CA 936129 <br /> (209) 348-2200 FAX (209) 348-2201 4 4 w o Z <br /> [�. a wo O OBSERVATIONS1 <br /> ti- <br /> Project No 14- ` o � a� 0 37 4 COMMENTS <br /> ---� -- <br /> LL 0 <br /> samplerSlgnatur o a a cc <br /> ow =w w �, at: <br /> J J a ls7 lW7 m r m O m a v+ Z <br /> a ¢ w m O� Ja O0 2 W x mj <br /> Cr <br /> Panted Name - - - J _ L) a v- m o i w °w o� a �a Z -- <br /> SAMPLE NO DATE TIME DESCRIPTION/LOCATION _ <br /> Kg_525 �— 93Q% -- — — — -- — — -- -- —� — ---- — — — <br /> RNQUI DATE RECEIVED Y (TATE RE INOU SHED BY DATE RECE ED BY DATEit TOTAI NUMBFR OF CONI AIN[ IIS <br /> I SUBMITTED TO THE LAR <br /> de q f- SIL �� 9I2 METHOD OF SHIPMENTfDELIVERY <br /> Si nature Si nature ! 5S, natu--7 Zres Signa ire / <br /> _� L �. l <br /> Printed Name I IML Printed Name I IME Printed Name I IME PriMcd Name I IME SPECIAL SHIPMENTMANDI ING <br /> �QL41 <br /> em 134C. OR STORAGE REQUIREMENTS q,00136 <br /> Company Company Company Company <br /> RELINQUISHED BY DATE RECEIVED BY OAK R{1INQUISHFD BY DATE RECEIVED BY(Labaratory) DATE <br /> Signature Signature Stgnature — Signature— <br /> Pnrtted Name TIME Panted Name TIME Printed Name TIME Printed Name — TIME RESUI T S DUV <br /> Company Company Company Company <br /> El VERBAL ❑ WRITTEN <br /> P Y <br /> Whits Lab Yellow Propd Fie Pink COC Broder <br />