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F, CHAIN Cu5TOD1 i RECORD-) <br /> Tel.(916)325-2580 <br /> FAX(916)325.2570 <br /> AMPLER (signature <br /> ROGER FOOTT ASSOCIATES, INC. <br /> 1450 Hart"' <br /> BW,Suite Q <br /> i�One: Sacramento.CA 95691 <br /> i—IORATORY: SHIPPING INFORMATION : <br /> • .a C - Shipper <br /> Address <br /> Date Shipped <br /> URNAROUND TIME: $ � Service Used <br /> ,t 3ntion: r 1� _ A C �4Y_ �- Airbill No. Cooler No. <br /> hone No. <br /> 17inquishe byXaMt ) Rece d by:(signa res) Date Time <br /> 106 t <br /> Received for laboratory by: <br /> .A ORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY -OF THIS FORM WITH THE <br /> LABORATORY RESUL*S <br /> Sample Site Date nalyses Sample Condition <br /> No. Identification Sampled R quested Upon Receipt <br /> F - <br /> ^�w <br /> } <br />