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F _ CHA � OF CUSTODY RECD <br /> Tel.(916)325-2580 <br /> F FAX(916)325-2570 <br /> I <br /> SAMPLE ignaturs j <br /> n . .. ROGER FOOTT ASSOCIATES, INC. <br /> �� 3� _ J 1450 Harbor Blvd.,Sate G <br /> hone: Sacramento,CA 95691 <br />[,LABORATORY: SHIPPING INFORMATION : <br /> o ile Zl Shipper <br /> FAddreslls <br /> Date Shipped <br /> F <br /> TURNAROUND TIME- war Service Used <br /> Attention: Air bIII No. Cooler No <br /> rhone No. <br /> .�Relinqu' ed by: (si Atur!0 Received by:(signatures) Date Time <br /> R . <br /> a R 'ved for Iab story by: <br /> 1414LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A OPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> 00 L/ 0-;'ek 3Md P,&, /CC-. ... .--- <br /> zn�C�. <br /> 6,0, <br /> F7-- <br /> I <br /> , I <br />