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CHAIN OF . CUSTODY RECORD <br /> S LER (signature): <br /> Applied GeOSystems <br /> 4191-E Power Inn Road.Sacramento,U 95826 (916)452-2901 <br /> Phone: g t 6 • 2�� t • Fremont • <br /> Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION : <br /> A r-nSyicE K01ZZ Shipper <br /> Address <br /> 'I /, Date Shipped <br /> TURNAROUND TIME: ,"�� 6L0:- LS Service Used <br /> Attention: Azosw /*,ec.uS Airbill No. Cooler No. <br /> Phone No. <br /> nq ed by: (signatures) Received by:(signatures) Date Time <br /> Receive r laboratory <br /> 1-11� <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> Nc. Identification Sampled Requested Upon Receipt <br /> 5-03,29-1 STP 63adR-1 44eea -1 yV 367,X GdF <br /> S-o3zg- <br /> S-n3Zo�.�NTf <br /> -03Z -714 <br /> 5-cr32 -`X. g <br /> S-a3z9-8A � <br /> S-o330-9p 30 <br /> S-a3'3o-/aa S 1 <br /> S-o33n-/ate � <br /> Ak <br />