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CHAINF CUSTODY RECOPY <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> AMPLER (signet(Are): -� <br /> ROGER FOOTT ASSOCIATES, INC. <br /> 1450 Harbor Blvd.,Suite G <br /> Lne: 3 Sacramento,CA 95691 <br /> P-RORATORY: f SHIPPING' INFORMATION: <br /> a <br /> � L lF C.1�L�wti Shipper <br /> Address _ <br /> Date Ship�ed ..� <br />'URNAROUND TIME: ServiceUsed <br /> frmtion: •7,P-4 A C(k ,- Airbil) No, Cooler No, <br /> tone No. <br />►�nqui ed by' (signat}�res) Re'ce ved by:(sl es} Date Time <br /> i}s J� rv�./� 1 i �) ; t <br /> r <br /> Received for laboratory by: <br /> F <br />.ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH' THE <br /> LABORATORY RESULTS ' <br /> }ciampfe Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br />.. 10 Oy?-re-{ l,�S--`?! TC�f . Ci—f7CE <br /> r <br /> f <br /> 1 <br /> VI <br /> R + <br /> d <br />