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KLEINFELDER <br /> PROJECT NO. PROJECT NAME RECEIVING LAB: <br /> 4 2--2-70 2 1 720 ,i//�j rj 1 NO. TYPE <br /> LP.NO. SAMPLERS(Signature/Number <br /> ( <br /> P.O.NO. OF OF �—J <br /> Ljggj pv NSTRUCTIONS/REMARKS <br /> CON- CON- <br /> DATE SAMPLL I.U. TAINERS TAINERS <br /> TIME SAPAf'1F 1.D. MATRIX .`�0`73� <br /> MM/DD/Yl' RH-MM-SS <br /> ' <br /> %bg m-2o:baa.- r t'la&X I I I I I I 1i —U f <br /> 2 W LI 6 OB: 0 31 Z- 14 G}os <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 0 <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 /> Relinquished by.(Signature) Dalerrime Receive ignalure) Instructions/Remarks: Send Results To: <br /> 09;3j) KLEINFELDER, INC. <br /> Relin�u shed by:(Signature) Daterl-ime Ref, ed y:(Signa ir / �/1 '"�(� 2825 East Myrtle Street <br /> !F-F` 1 Stockton,CA 95205-4794 <br /> 1r//G � b / ✓V // ��� Attn: <br /> R ulshed` (Signature) DaterTlme Received fc� Drtory by:(Signature) <br /> M-GO %Mine-Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN OF CUSTODY N2 17947 <br />