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Hazardous `•facer=_ls Labor-t--r-, Action brdo <br /> S A 5PI P:- (S) p Qum _ ,�0 p <br /> Save saninles until <br /> (date) <br /> Reason for savLng samples: <br /> (Signature of Col_-fetor) (D te) <br /> !' '2S docs :not receive a completed "Save _ample(s) Request", the <br /> samples will be disposed 60 days -from the (3a-_e of the final*analytical <br /> report. <br /> RetiLrn completedr <br /> form to: California Departaent of Health Services <br /> Hazardous Materiz_s Laboratory Section (HIMMS) <br /> 2151 Berkeley Play <br /> Room 235 <br /> Berkeley, CA 947-4 <br /> 8/82 <br /> 006 <br />