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CF 1tN .OF CUSTODY Rr <br /> 5A LER feign rel; � / _ <br /> `,�t..•�, 4pplied GeoSystems <br /> Phone � � I Q � -43,77, 31vrr �Ulte C� irr•mnnt. �.1 la;irl d15;Fii-: <br /> LABORATORY: SHIPPING INFORMATION : <br /> G 5 Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: ziService Used <br /> Attention: �a /.c s _ Airbiil No. Cooler No. <br /> Phone Na. <br /> Relinquished by. ( 'gnatur ) Received by. (signatures) Date Time <br /> 7-J 18 <br /> C71- <br /> Received-frm iaooratory bay: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sampie Condition <br /> No. Identification Samoied 3 Recuested Upon Receipt <br /> 7 0 <br />