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4- g-RN <br /> g � <br /> M---- <br /> CHAP"IO& _CUSTODY RECOnD <br /> t R (si nature): _ A0,01led Geosystems -_ <br /> - <br /> --- - .t19 kE Power Inn Road.Sacramento,CA 95525 s915i 451-2901 <br /> Phone: �`JI� S 295 .Fremont •Costa Mesa .Sammento <br /> LABORATORY: SHIPPING INFORMATION <br /> CHem tLe/ T Shipper <br /> (CO Gt Wvd Address ._..,,.,,. <br /> Date Shipped <br /> TURNAROUND TIME: �� Service Used <br /> Attention: �_r Alrbill No. Cooler No. _ <br /> Phone No. <br /> Au <br /> by:(signs urns? Received by:lxignaturtrsl Deto Time <br /> D" <br /> Received for laboratory by: <br /> .SIlsMt:eENcE` 3,�/Gr: C'ar] <br /> '''BORATORY SHOULD SIGN UPON RECEIPT AND RETURN A DOPY OF THIS FORM WITH THE <br /> ;- LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> _ No. _ identification Sampled Requested Upon Receipt <br /> �-0334- 48 O OIZ' ,�d iL '�r�dE7lt�f Lc� �� <br /> �� .�� !O <br /> �.4 to <br />