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�.w �: aaaa� ai a� awe aaaaa* asasa! � � I• � I• I♦ � � � � <br /> • <br /> CLEARWATER GROUP <br /> Subcontracted Microbiology MNA Profiling Assays <br /> perfon-ned by <br /> CytoCulture Environmental Biotechnology lab@cytoculture,com <br /> CHAIN OF CUSTODY FORM <br /> Project Name: �2 Project No CLEARWATER Purchase Order: <br /> CLEARWATER 'ent Name.pft_ CLEARWATER Project Manag a <br /> Address to Sen sults: <br /> 229 Tewksbury Avenue Pt. Richmond CA 94801 <br /> CLEARWATER Email for Sending Data: CLEARWATER Client Contact: <br /> bAan clearwate a .Com <br /> CLEARWATER Tel for Follow-up: 510-307-9943 �-zz Sampler/ d <br /> Bacterial pl*ta.-. aleffizill MEN— Nu Is <br /> Aerobic Anaerobic Anaerobf <br /> me r Hydrocarbon Toter! Hydrocarbon rota! Nlirate !ron �aThta <br /> d n CRP DC <br /> 't4t <br /> V j v u N 3 pool) F !1l <br /> � x <br /> F -1- <br /> Chain of Custody Record Signature oftho form constitutes a fwm purchase order for services, Payment DUE on Reporting Date <br /> Re ' uis ; Date/Hr: (� <br /> � i[ a� rved by: 4Fax <br /> Date/Hr- <br /> yo-s-,, <br /> ateJHr: <br /> e oCulture Lab Da ( / 2 IlA <br /> 1,02 i I Z s <br /> Cult a3-0102 249 ewlabury Avenue <br /> �� b3 %� Lab Service 3-377? Point Richmond, CA 94801 <br />