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A, <br /> l <br /> " - CHIN OF CUSTODY RELORD <br /> f' <br /> SAMPLf}'(signatur —� <br /> ��'' App/led Geo�ystems <br /> / 4391•E Power Inn Road,Sacramento,CA 45826 (916)452-2901 <br /> Phone: ( �--Z40 1 _-- •Fremont •Costa Mesa +Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> r <br /> Mcw C �— Shipper <br /> Address <br /> Date Shlpasd <br /> TURNAROUND TIME: All Service Used <br /> Attention: %-Vjj-AJ r� Alrbill No. Cooler No. . .. <br /> Phone Sih� - 7.1ni <br /> Reiitiq hid by.(3i Kat - R i hy:{ni tur 1 C8c3) Oats Time <br /> s <br /> Atsce oratoryby: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND—RETURN COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> . Sample Site Date Analyses Sample Condition <br /> No. Identification Sampiad Requested Upon Receipt <br /> r,. <br /> a� <br />