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CHAIN OF CUSTODY RECORD <br /> QCT — 7 193 <br /> �7 Tel (916)325-2560 <br /> f' FAX(916) 325-2570 <br /> SAMPLER (signature) <br /> G ROGER FOOTT ASSOCIATES, INC. <br /> Phone 1450 Harbor Blvd,Suite G <br /> Sacramento CA 95691 <br /> LABORATORY SHIPPING INFORMATION <br /> �- Shipper <br /> 7 Address <br />' Date Shipped <br /> TURNAROUND TIME Ll F) Service Used <br /> Attention K�. i�c. �c-, ,� fs Alrbill No Cooler No <br />' Ph ne No <br /> Rai r u h by rg ` Received (signa-tures) - Date Time <br /> � J <br /> Re labor r <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sampie Condition <br /> No Identification Sampled Requested Upon Receipt <br /> � t1 Z z�; -c'c f `,� - Z-�I �H r-1 r T-P�!. l`3 TEx <br /> l l t17�3Z r iit n <br /> )WZ 2, 3 -CG 114 4� ��'t)� 1 ,117 )��y <br /> ISI W <br /> u:3Z- 7 -Tyjrh,a r-B7F1 <br /> k- fir, <br /> v.3 <br /> � <br />