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CHAIN OF CUSTODY RECORD <br /> SAMPLER (signature); -- <br /> Apo/ieo, Geosystoms <br /> 4191-E Power inn Road,Sacramento,CA 95626 (916)452.2991 <br /> Phone: +Fremont •Costa Mesa .Sacramento <br /> LABORATORY: SHIPPING INFORMATION: <br /> Shipper <br /> Address <br /> Date Stripped _ <br /> TURNAROUND TIME: Service Used <br /> Attention: AfrbilI No. Cooler No. <br /> Phone No. <br /> Relinquished by:(signatures) i Received by:(signatures) Date Time <br /> --J <br /> Received for laboratory by: <br /> �'-.,BORATORY SHOULD SIGN UPON RE=CEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampied Requested upon Receipt <br /> PLATE <br /> P-5 <br /> EX-10%1PLE OF cItAI` OF CUSTODY RECORD <br /> v ' <br />