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KIK L E I N F E L D E R <br /> PROJECT NO. <br /> 4 PROJECT NAME RECEIVING LAB: <br /> 2,'2.-7 0 ^ 72c) , �'* <br /> NO. TYPE <br /> L.P.NO. SAMPLERS:(SignatureJNumber �h <br /> (P.O.NO. OF OF y �t_.- LIOIc" <br /> 5 <br /> L(c{.c� Q NSTRUCTIONS/REMARKS <br /> CON- CON- <br /> DATE SAMPLE LU. 7AWERS TAINERS ����� <br /> TIME SAMPLE I.D. MATRIX <br /> /Y _\ M <br /> MM/DDY HH-MM-SS "� �V <br /> ' 0 i o8:3o:ba vNN r _a f <br /> i <br /> 2 W L!6 as: o Z 3V Z r 4 Glos <br /> 3 <br /> 4 <br /> 6 <br /> 5 <br /> 6 A x <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> i <br /> 15 <br /> i <br /> 16 <br /> 17 I <br /> 1a <br /> 19 <br /> 20 <br /> _Ret in wished by:(Signature) - Date(Tkne Receive • ignalure) Instructions/Remarks: Send Results To: <br /> �:SD KLEINFELDER,INC. <br /> Reli shed by:(Signature) Date/Time rl"/'Z�dkf <br /> 1 '�{� 2825 East Myrtle Street <br /> J ) Stockton,CA 95205-4794 <br /> 1��G f rS �� Attn: <br /> ROluished` (Signature) Dale/I ine Received foQor tory by:(Signature) ��/�,^ Oise.. <br /> IN\D While Sampler Canary-Return Copy To Shipper Pink-Lab Copy <br /> CHAIN Or CUSTODY N2 17947 <br />