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LABORATORY: <br /> L�hETE ING <br /> T <br /> � � <br /> ENVIRONMENTAL & ° <br /> A 5 5 a c i A T E 5 C1fAlN OFCUSYODY R CQR� / / r <br /> t PROJECT NAME: ori / ac•f <br /> - Numlaer a vs <br /> SAMPLER +;signature!: Containers! <br /> Type �� �' NI 0/ <br /> - i SampleQ.r �' ,' <br /> ,I TiLab LD- <br /> Date <br /> .D. <br /> Date me Sample Locarion / f �} ;' ;' <br /> I f I > <br /> 2- zs-y� 1 t i I i i g%o <br /> _ � i <br /> Ot t <br /> rz <br /> �ti I <br /> LI <br /> Recei <br /> ' Date i Time i <br /> ! Date f Time. f by- <br /> Received by: Relinq fished by: <br /> Relinquished by: <br /> 4� /.!f tel/ ff� I Company: <br /> r ! `�• ! i company: i Came°ny-- . <br /> Coma : !7/ /. I 1 Time Received by: <br /> p ^1" Date 1 Time Retei.ved by: Relinquished 6y: Dafie <br /> Relinquished by:: <br /> Company: <br /> Company: Company: Received by: <br /> Company. Date / Time <br /> Date l Time Received by- Relinquished by: <br /> Relinquished by: - <br /> Compar y: <br /> Company: Company: <br /> Company: <br /> NOTE. In preparing Iegal documents always use ink and signatures MERG CA 915344 <br /> P.Q. BOX 2242 (209) 3847041 <br />