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Columbia <br /> Analvticai <br /> Courier Sample Receipt Record ServiceS,nc <br /> Date <br /> Companv <br />' Project N10 25063 -Igo. 04 <br /> Number of Containers j ,� Coolers = Boxes Other <br /> Custodv Seal(s) Present YES NO Custodv Seal(s) Added YES NO <br />' Containers Reltnuuished Bv• Stiznea Name <br /> Pnnted Name <br /> Compariv <br /> Date and Time k/5'( /U <br /> Con'Mi ars Seca-.v2e 3v Signed Name <br />' Printed Name <br /> Companv �- c <br />' Date and Time - ( - ct S- <br /> 1 c o0 <br /> Containers Relinquished By (Counerl:Sienea Name �-- <br /> Printed Name �-� ,�.,� �v 1`a <br /> Comnanv <br /> Date and Time 3 3 <br />' Containers Received By (Lala): Signed Name <br /> Printed NameMp <br /> Date and Time - <br />' Vote Samples received via courier cid be onficialty receives androcessca at CAS' Sam Ie Recetvm$ Office <br /> p P <br /> 1921 Ringwood Avenue. San Jose. California 95131 <br /> Telephone <br /> L-OLTIER2 DOC .3,'95 <br />