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N "'i " - , -1 - - M <br /> NOR 19 <br /> OEM <br /> CHAIN OF CUSTODY RECORD <br /> TOL(916)325-2580 <br /> FAX(916)325.2570 <br /> 4SAMPLER (signal ra)' <br /> ROGER Foorr ASSOCIATES,INC., <br /> 1450 Rubor BNd,SLite G <br /> r O Saaameni0.CA 9569 t <br /> Phone. <br /> LABORATORY` SHIPPING INFORMATION. . <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: Service Used <br /> Attantian' �� � C�a Alrbiil No. Cooler No. . <br /> f = 3 spa <br /> Phone,No. <br /> Date Tlm <br /> Relinquished by:(signal res) Re _ adby:Csigna`ur s) �n fJ r2 gi` <br /> Received for laboratory by: <br /> LABORATORY SHOULD SIGH UPON RLABORATORAND RETURN RESULTS COPY OF THIS FORM WITH THE <br /> : Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> /.z—'7-9 F I'ff f -- <br /> E <br />