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KLERNFELDERt <br /> PROJECT NO, PROJECT'NAME <br /> Y <br /> 5-'s8 <br /> !V:. RECEIVING LAB: <br /> j NO. TYPE 5-TL/fii5� *�G'.k <br /> L.P.NO. 400 <br /> Siynalur]9{ bar) r f`[ /� / G <br /> NO OF'I� 4+P1bE-�,'�'i OF OF � !�J <br /> Ay INSTADCTIO <br /> CON- CON- ; <br /> DATF. SAMPLE I.D. I TAINERS TAINEAS A U <br /> TIME SAMPLE I.D. MATRIX ,4 - <br /> MM/DD/YY HH-MM-SS <br /> 01 18-1.041 0600 SSSS l zz 5 Xdl"A IX <br /> 2 <br /> 6 4 <br /> s <br /> s <br /> 7 <br /> 8 <br /> 3 <br /> 14 <br /> 11 <br /> 32 <br /> 13 <br /> 14 <br /> 15 <br /> i • <br /> 113 <br /> 17 <br /> ifl <br /> lfl <br /> 2n <br /> R inquish by;(Si 41' S e} Da+e/Time AeC6ived by:(S"tgnature) Inslrucllons/RenTarks: Send Aesults To;3 W e%kN Kielty,ttl '( <br /> KLEINFELDER <br /> Helinr li ed si at Da+eJTima Received :(80 re) 2825 EAST MYRTLE STREET <br /> ST'OCKfON,CA 95205 <br /> s <br /> (209)948-1345 <br /> elv q sh ;(Sig I e Dale./Tune i or Laboratory by:(Signature) Attn: <br /> 17 <br /> ' rd- 0 _ While-sampler Canary-Return Copy To Shipper Pinlc-Lab Copy <br /> ` CHAIN OF CUSTODY N2 4089 <br />