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CHAR - 1F CUSTODY RECOC. ) <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> SAMPZEignalure� , <br /> ROGER FOOTT ASSOCIATES, INC. <br /> 3� _ a 1450 Harbor Bfvcl,Suite G <br />)hone: Sacramento,CA 95691 <br />.ABORATORY: SHIPPING INFORMATION : <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND T1ME' ca�c Service Used <br /> attention: Airbill No. Cooler No. <br />'hone No. Y116 <br /> telinqu Ad by: (sl ature Received by:(signatures) Date Time <br />/ <br /> i <br /> R 'ved for lab atory by: <br /> �3 a� <br /> ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN 'COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date An lyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> zH Y C Pc �yuy <br /> T <br /> i <br /> s o L. <br /> k <br />