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t <br /> CHAIN OF CUSTODY RECORD, <br /> SAMPLER (s'gn turel: <br /> ���''"j APP�ied GeaS�rsten7s <br /> Phone: -�yD� 451•EPower tnnRoad.Sacramento,Cf 95p25 (9161 452-2901 <br /> •Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> ,4c� �s <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME:: Servica Used <br /> Attention: /—'L:,L/ AirbilE No. <br /> Cooler No. <br /> Phone No. �/Car �,,;,�.�?9O <br /> Relinquished b natures) <br /> Aece'ved by.(sig esl p <br /> � � � ata Time <br /> I a,Vj <br /> Received tar-ft <br /> armory E,y: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> . LABORATORY RESULTS <br /> 5ampie Site Date <br /> No. IdentificationSamDlad Analyses Sample Condition <br /> ��USo-� �g�� <br /> Requested Upon Upan Receipt <br /> w-- ' 7i�jy C-a f�Tij' r <br /> W.- 414-• 114V F' <br /> t <br /> ---------------- <br /> i_ <br /> i <br /> - <br /> - <br /> rae�Nt�ttrlat�e _:. — - t�7 <br />