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In KLEINFELDER <br /> PROJECT NO. PROJECT NAME RECEIVING LAB: <br /> �Z��3 • � �g3� !1= Ste" <br /> NO. TYPE <br /> L.P.NO. SAMP {Signature) r} } <br /> (P.O.NO. + �� OF OF `1 <br /> INSTRUCTIONS/REMARKS <br /> CON- CON- <br /> DATE SAMPLE I.D. TAINERS TAINERS <br /> TIME SAMPLE I.D. MATRIX <br /> MM/DDIYY HH-MM-SS <br /> 0 1 o Z 3 iJl - 1 1AZ <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> Ae[inq " ed by:(Si t Datemme Receivedd by:(Signature) Instructions/Remarks: Send Results To: <br /> 71 <br /> «ff / , / KLEINFELDER <br /> Relinq ed by( ignature) <br /> "_Da1e&jTlm;e Received by:(Signature) �� 2825 EAST MYRTLE STREET <br /> STOCKTON,CA 95205 <br /> SI� (209)948-�345 <br /> Relinquished by:(Signature) Datelrime Received for Laboratory by:(Signatur Attn: <br /> M-60 White-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY <br /> N° 1826 <br />