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(KLEINFELDER �. r> <br /> PROJECT N0.' PROJECT NAME RECEIVING LAB: <br /> a"�� 77ll y �..� <br /> z "16 i a1 .t"01 !��yJT'- J NO. TYPE <br /> L.P.NO. SAM PL S:(Signatu d <br /> {P.O.NO. OF OF .y 4 <br /> r 'Rro�? S �� pp,�` INSTRUCTIONSIREMARKS <br /> CON- CON- V <br /> DATE SAMPLE I.D. TAINERS TAiNERS ` <br /> TIME SAMPLE I.D. MATRIX r] <br /> MM/bD/YY HH-MM-SS <br /> 3 <br /> 4 <br /> 5 ' <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> t0 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> }B <br /> 19 <br /> 20 <br /> Reli fished by:{ - re �Zvf <br /> err Received by:(Signat re) Instructions/Remarks: Send Results To: <br /> 5�:0 I r <br /> KLEINFELDER <br /> Rehnqu ed by (Signature) Dateffime Received by:(Signature) 2825 EAST MYRTLE STREET <br /> STOCKTON, CA 95205 <br /> (209)948-1345 <br /> Helmquished by,(Signature) Dateffime Received for Laboratory by:(Signature) Attn: <br /> �i�-i1 (r�lELSf� <br /> M-60 White-Sampier Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY <br /> NO 1841 <br />