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, <br /> 1 00 <br /> R <br /> CHAIN OF CUSTODY RECORD <br /> SAMPLER (signature): % - -- <br /> �;;.,v, ,, �� w A0,011ea' GrroSYStPms <br /> 4191-E Power inn Road,5acramen-o,CA 95826 {916)452-2901 <br /> Pftone: �. - •Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Rate Shipped <br /> TURNAROUND TIME: Service Usud <br /> r"t Attention: � n� 11 r,;; __ Airbill No. Cooler Nn, <br /> Phone No.'7 fair-I c�c�w7uor <br /> Relinquished by:(signat ros) Received by:(signatures) Cate Time <br /> Aecaived.f laboratory qy: <br /> '4'`—LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site +•,ADate Analyses .Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> h' 7'T—t?—. <br /> f <br /> �j- ZF-F-7 aZA,0aL Z <br />