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ITT <br /> OF CLAS i I Riai;^�� <br /> SAMPLEia �nsturell - <br /> Phone: / '�G! 4SZ—LTd/ 4191-E Power Inn Road,Sacramento,CA 9582& (9161452-2901 <br /> «Fremont «Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: � c�tr�th Service Used <br /> Attention: �`1�'+tY /`(FecuS Airbiil No. CGaler No. <br /> Phone No:/' S1l Z�a� <br /> Aalinqu;'s/ned by'( i rta�t�res_p Aeca, ad by:(signat"s) !este � Tlm® <br /> — <br /> f7 /J Recaiv/cK" r lanoratory b <br /> LABOR RY--SHCULD SIGN UPON RECS?PT AND RETURN A COPY OF THIS FORM WITH THE .. <br /> LABORATORY RESULTS <br /> Sample Site Date, Analvses Sample Condition <br /> No. Identiticatlon Satn>aled Requested Usyan Aecaiot <br /> l.E)- �q-MwJ 3lL�L 1G —t' <br />