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CHAIN _ F CUSTODY RECORi <br /> Tel(916)325-2580 <br /> FAX(91 e)325.2570 <br /> ;AMPLER (signs re)' <br /> ROGER FOOTT ASSOCIATES, INC. <br /> 1450 Harbor Bird,Site G <br /> hone: 3aS- a.SXo Sacxame-#ACI mal <br /> ...ORATORY: SHIPPING INFORMATION: <br /> .�,«.. Shipper <br /> Address <br /> Date Shipped <br /> -URNAROUND TIME: WeeService Used <br /> mention: 3efl A C V4, Alrbill No. Cooler No. <br /> hone No. 3 DS-a SIS16 <br /> ;eiinquishedby:(signat res) Rot" by:(signatur ) Date Tim9 <br /> J <br /> Received for laboratory by: <br /> _ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> /ceQ/ <br /> a— <br />