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C- XIN OF CUSTODY R :ten J <br /> SAMPLER (signature): <br /> A,ow/ie� GeoSystems <br /> Phone: `111c1�nn 31c(1 Suite irnmeuv. 1 1141)it? .:15' <br /> LABORATORY: SHIPPING INFORMATION : <br /> r,—'L SC S`�EV--5 Shipper <br /> 1 5 <br /> Address <br /> Date Stripped <br /> TURNAROUND TIME: y g �a�`� Service Used <br /> Attention: C,,-V+OW&A Ai-4 Airbiil No. Cooler No. <br /> Phone No. <br /> Refinquisned by. (signatures) Received by. (signatures) Date Tim <br /> Received tartpocratory by: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> 7' i V 14 t 3cF ?'x <br />