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GeoSoty, LLC CHAIN OF CUSTODY RECORD low <br /> E, mwfftal aid Hy*ogWogd Canibng " "t <br /> Laboratory ArtolySls PO. NO. <br /> �aW S9e�� ,anom CA%Mfir` ' Laboratory Please Calf Accounts Payable for PO No. <br /> JWf ka rYar6�nMM@d RnE M wt SMThart `"` " Date; 4 Sheet <br /> i m Lob Name <br /> Protect Name MCC <br /> Address <br /> Protect Numbero Pacheco, CA _ <br /> o �' - - <br /> Address 3 `�`� 4 a Phone Number(510) 798-1620 <br /> ao <br /> w y m <br /> Turnaround Time <br /> Samples Name: a�o o N 0 ^ w LU ❑ ❑ <br /> Frank Goldman - v m co aa U a w <br /> � Rush 24 Flour 48 Hour 5-Day <br /> Sampler'�Signature c� o o � o m a� '9 —��' <br /> C — V LU Repeat to <br /> Samplers � Date Ttme en 1 o 3 Com7- R2J 91 i. <br /> 4 i <br /> - Z�- 2-�2� iS <br /> oud <br /> I -a-M-MME <br /> I <br /> RelI Date Time eived By Date Time Total Number�fne <br /> Contalner5 this Sheet <br /> Method of Shipment- <br /> CP <br /> hipment <br /> M'o- <br /> --'m <br /> ment/Handiling <br /> LMAU Dlspatc Date Time ReceN Lab By requirements <br /> rf: +rr�� r r r <br /> CdNTA1NEKAr— <br /> h ABSENT <br />