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Jim chain oT Lustod <br /> razan = -mWo 'm <br /> v �- <br /> PAGE_ / OF 1 - <br /> KRAZAN & ASSOCIAfjS, INC PARAMETERS ' <br /> ATTN ��''11''�� <br /> 215 WES AKOTAAV NUS w z <br /> CLOVIS, CA 93612 <br /> (209) 348-2200 FAX (209) 348-2201z` <br /> J Z <br /> �? ~" ¢ u to <br /> w4 LU "� O OBSERVATIONS/ <br /> Project Na dI`# as26 L o z z r 4, CLo v <br /> COMMENTS <br /> Sampler Signature -- - -— - — ---- �, a a W � - o. p - O <br /> P 9 a a ru R H Uw acc <br /> cco 7 m za Q m <br /> LU <br /> Prtnied Name -- a r r x b °a as z v <br /> SAMPLE NO DATE TIME DESCRIPTION/LOCATION <br /> Kis 615- 4 Pf K6 S 8 15 ' -- — - - - — <br />� Kb 5 zo 4:z' K65-0- o_/ K�dz�, <br /> _ 4 <br /> _via _ 5 -1-s <br /> 05 <br /> 41*9 1 r� <br /> RELINQUISHED BY — DATE RECEIVEDBY DATE4 RELINOIJISHEDBY — RFCEIVEDBY -- <br /> DATE DATE I, <br /> TOTAL NUMBER OF CONTAINERS <br /> y - 0SUBMITTED TO THE LAB <br /> Sig�f ` 1/1-t <br /> ���, Sig t{,re � 'jtS S�gmture <br /> alure METIIODOF SH1P1uIFNTrt7f I IVEf;Y <br /> AYR ds- <br /> f �c <br /> Prinled Name TIM Printed ame 11 Printed Namc -- ,— - <br /> lIME !nnt4d Mame TIME -------------- <br /> SPECIAL Sill PML NT4IANDI ING <br /> Zexl , _ 7_0 _ OR STORAGE REWIREMENTS <br /> Company - Company II Campnny r Company <br /> RELINQUISHED BY DATE RECEIVED BY DATE RELINQUISHED BT_ DATE ECEIVED BY;Lab oratarO <br /> r� <br /> Sign-T Signature Signature Signature 10 <br /> Printed Name TIME Printed Name TIME Printed Name _� -� <br /> TIME rimed ame TIME Ul T S DUL <br /> Company Company Company ompany ❑ VERBAL ❑ WRITTEN <br /> While Lab Yevow Propel File Rnk COC B rder 0 Yo hF f%c-0 ^ , <br />