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FIA <br />TRACER RESEARCH CORPORATION, 3755 N. Business Center Drive. Tucson. AZ 85705 (520) 888-9400 <br />TwZD• i <br />s j , <br />Site Address. -2-70Sr_ , Citr-: - Tack4mu State. f <br />�i <br />l <br />Use Only <br />� <br />M <br />91 <br />No <br />meoo� <br />mom <br />r' MPAI MM,I <br />11 <br />BIN <br />MM <br />0000 <br />�.�too� <br />a .. <br />onmomo <br />000 <br />�j,ao� <br />�������■��� <br />000� <br />r �o■. <br />Will <br />IoMooIME <br />MOM <br />11191I000 <br />1101mom <br />MMEM� <br />. <br />11111I■■oININo <br />Do■ <br />MMffM10 <br />,, ..� <br />IIIIIooINIM� <br />son <br />MEF <br />- a .:. <br />11111I0000INE <br />mom <br />®oiM� <br />Pik <br />IM1111oo <br />o� <br />o■o� <br />MR[MM <br />M <br />IMIIIIoo <br />oIIMI <br />M.00 <br />�M'- <br />d - • • r <br />t."„oo.. <br />mom <br />MMIME <br />� • w <br />11111I000IM <br />on <br />UNIU000.- <br />moo <br />■000000INE <br />Mommommon <br />—o-- <br />■■�■■..— <br />/ t <br />Data <br />Data Shoot without TVHC <br />E] <br />F -I Two Data Sheets (one with TVHC & on. without) <br />Rsllzvl� By;e7_14ture/Dato) <br />Lab Relinquished By: (Signature/Date) <br />PART #SF01 Rev.02 08/98 WHITE - Return with osmoles to lab YELLOW - Return with samples to lab PINK - Sender's Copy <br />