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yg <br /> r <br /> CHAIN OF CUSTODY RECORD <br /> SAMPLER ignature). <br /> c-� C.�,✓,c7�,,, APP/ied GeoSYsr`�ms_ <br /> Phone: <br /> ^S•' 7[Jdr� 1- L 4C{r1 rJ li. tt'i Ih <br /> LABORATORY: SHIPPING INFORMATION: <br /> rase AnA �1�i�r Shipper <br /> SS Address <br /> ,,,G3 v►//e�. Gtl,_7�+�h�a Date Shipped <br /> TURNAROUND TIME: Service Used <br /> Pralect Laadsr, dot! ++- AI!biil No., Cooler' No, <br /> Phan• No. t�yi5) 1-lgo6 <br /> Rellnquish!j by:(signature 1 Recsived by:(signatures) 1 Date Time <br /> Reseived.far�abnratory ray: � f <br /> l:A40RATORY SHOULD SIGN UPON RECEIPT AND-..RETURN A'CCPr CF T)-FIS FORM WITH THE <br /> i LABORATORY RESULTS ; <br /> 1 Sample Site Date Analyses Sample Conditlon <br /> 1 <br /> No. Identification Sampled Requested Upon Receipt <br /> AGSS7u's0-z If/fy �?s�l %�Y4ICV» ���RrryrarMr,s 1 ¢1� <br /> ..,,_- <br /> lad <br /> - i <br /> S—Ve-.s.2 f1 GS87050-z 8 zl�-y Tial1#ilcu,,. 9,dacar4„5 -Tuul <br /> 1 <br /> 06 PA 8015 <br /> Arss �7a$o-z <br /> r <br /> _u <br /> ,ar"x ek-eA F020J <br />