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K1. EINFELDER <br /> PROJECT NO. PROJECT NAME'0�'7/� - RECEIVING LAB: <br /> 20_y4Yy-0/ �y <br /> NO. TYPE <br /> L.P.NO. SAMPLERS:(Signatufo/Number) <br /> (P.O. ' w 01.;/*` <br /> P.O.NO. OF OF �.`� <br /> I / x <br /> CON- CON- INSTRUCTIONS/REMARKS <br /> � V <br /> DATE SAMPLE I.D. TAINERS TAiNERS t <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DD/YY HH-MM-SS <br /> 2 /Z- ,a t 2:oo O <br /> 3 <br /> 4 <br /> S <br /> g <br /> 7 <br /> 8 <br /> 9 <br /> 11 <br /> 12 <br /> 73 <br /> 14 <br /> 15 <br /> 46 <br /> 17 <br /> ,13 <br /> 19 <br /> 20 <br /> Relinquished by:{Signalure) DateRme Received by:(Signature) InStroctlons/Remarks: Send Results To: r <br /> "Relinquish by:(Signature) - -- _. _ ---- .---- - - - -- ---- — - <br /> KLEINEELDER r <br /> — g — —Dale/7ime — Reeeived 6y:(signatures 2825 EAST MYRTLE STREET <br /> STOCKTON(209a 948- 3,45 CA 95205 <br /> Relinquished by:(Signature( Daleaime Received for Laboratory by:(Signature) T <br /> Attn: li 11,/ ';""/j <br /> `/j C` <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy f/ - <br /> CHAIN OF CUSTODY _ <br /> No 1843 <br />