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GNAW OF CUSTODY RECORD <br /> M <br /> -A ER (signature): <br /> ��ifl�/ted �GeoSysPoms <br /> Phone: 9/GJ sZ^ old/ 4191-E Power Inn Road,5acrimento,CA 95626 (916)452-2901 <br /> •Fremont •Costa Mesa •Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> /L1d B/G ear G/�Eiy LABS <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: �¢ H�� Service Used <br /> Attention: tS,�t,iS j2y err RcvS Airbill No.--__ Cooler No. <br /> Phone No. �lG) `�5� z 9O <br /> Roll uished by:fsignnturesJ Received by;(Sign ture3 Gate Time <br /> �I <br /> I <br /> Recet wed for laboratory by: <br /> i <br /> .._.3ORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE; <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested upon Receipt <br /> 300 9-24-6L7w?',?) 15rEx 14c--Z) - <br />