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CHAIN OF CUSTODY RECORD <br /> SAMPLER (signature): f <br /> Vr.X l j gA/!fid Geosys�B�s <br /> r� h�", 4191-E Power Inn Road,Sacramento,CA 95976 (916)452-2901 <br /> AhOne: r <br /> -- — — -- •Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Dale Shipped <br /> TURNAROUND TIME' ° Service Used -- <br /> Attention: f} _ I�wr-sus_ , Airblll No. Cooter No. �. <br /> Phone No. A 16 t,1 2 tin 1 <br /> 7 Reiin shed by:(sigrfatures} Received 6y:{signatures) dale Time <br /> r!, /1 z 3—.59 /5!'•�y� <br /> s <br /> /vt.Cvtcc.cc._- <br /> i. <br /> Receivedlaboratory y: <br /> lam-�--��`-�� 1-t3-s 9 ��3•� <br /> o- RORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> t <br /> t Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested dpon Receipt <br /> r <br /> i <br />