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AN Y RECORD•OF CUSTODY <br /> ,SAi�PLERS:(Signature) <br /> S,,II��Q A !�►-e SHIPPING INFORMATION <br /> Phone: InA0L <br /> IS HIPTO: Shlppsr <br /> ?pL [ Address 3U� .arcs cl St S C/f `I'f/a3 <br /> -•F2o3 Isles+ '�5'wI7 > Date Shipped 41A <br /> ra5tic, C � a Shipment Service ?�� d• ��� <br /> Alrbill No. <br /> 'ATTENTION: Cooler No. <br /> Phone No. <br /> e nqu*0 d by !spn m •1 eceived by: (Slpnerur•1 _ Date/Time <br /> adW < &'u - <br /> squished by: (Slpn•tur•) Received by to p^' "•J Date/Time <br /> e nquts nature! Received-toy:_(Signature) a/Time <br /> Malin shed by: (Slpnarure) Recejte for 1`boratory by':! %pn•rur•1 ate/Time <br /> (':a& A .4� FF In"/Sir <br /> 'Analysis Iaboratory should complete, -sample conditio upon receipt", section below, sign and return top copy to <br /> A P P L, INC 4167 N . Motel Dr. , Suite 102 , Fresno, California 93711 <br /> Sample Site Date Analysis Sample Condition <br /> Number Identification Sampled Requested Upon Receipt <br /> a TANS �lgP�ln ✓/lad, S (4/SY �jptc� �_ �;t bro.ss -f Akj <br /> N1-MH 3 Lcncaln V, l/Jac S rB 857 8o t o -L " 1�• s5 i�b�: <br /> Will-MHS- I_meeio V; /Mle 5//Sie Seto ? -0 i6rass 1-y to-ef <br /> NI!-IAF - ST�� Z�nco/a VIteSE s14 'dx SotU a ' ic " br<si i�.tie� <br /> L' nta1h VllljQ 5-1/16 88 Holo 1 - & " brass tvbey <br /> h 7T - (8Llkledm Vitla c S/,8/8e, Solo / - /O " b405's tcb� <br /> Lu7eO/4 b;llAft Vj 8 Solo 1 -G " brass Ge,t <br /> J <br /> r�eal_ dca7� 71C1-- Wr, ekk ,-��, e — <br /> C <br /> % <br /> 1-- <br /> orm A-382(Rev. 7182) <br /> w.1�r,-Samot•• Canary- A P P L,, INC P1nY-ueCoun•.ycopy <br />