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CHAR OF CUSTODY RECuRD <br /> SAMPL (signal urh 1: <br /> .4,c��ia/ied GooS,c�sPerns <br /> 4191-E Power Inn Road,Sacramento,CA 95825 <br /> Phone: � � U� •Fremont •Costa Mrsa .Sacramento (9161 452-2901 <br /> LABORATORY: SHIPPING IVFORMAT10W1: <br /> Shipper <br /> Address <br /> Date Shipped _ <br /> TURNAROUND TIME: �2tr-E4'---k-5 Service Used <br /> Attention: arC to Airbill No. _- Cooper No, <br /> Phone No. <br /> Relin . had by'(sig lures) Received by.((signalures) qatp Time. <br /> Received for laboratory by: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sampie Condition <br /> No. identification Sampled Requested Upon RecalPt <br /> Gu--3G- M�J3 3u! 3 xJ8 _ 'Sir c NCL <br /> A)2. 3,90!2,z 3/,3/8 <br /> i c r- <br />