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r CHS N 4F CUSTODY REC ARD <br /> 4 <br /> AMLLER (slgna�t{e) <br /> h y,� , ��,� App/led Geo Systems <br /> hone ry .- f 'r' lek�liut jl%rl �!ulle .i Frv-"wint '144s'+ i i hii-1r <br /> ABORATORY SHIPPING INFORMATION <br /> Shipper <br /> r <br /> Address <br /> fI <br /> Date Shipped <br /> TURNAROUND TIME' W-d.e/k Service Used <br /> Attention: Airbill No Cooler No. <br /> phone No. <br /> R_elinqulshed by: (signatures Received by:(signatures) Date Time <br /> 4 <br /> x <br /> Receive a laboratory <br /> °ABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> 'fsLABORATORY RESULTS <br /> y= <br /> ,Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> D — /3 j R &1P.3—a c? 7 7-1//f t- LEH t A <br /> X12 <br /> J <br /> �tl <br /> V <br /> xa <br /> k' <br /> z <br /> F _ <br /> r _ <br /> L <br /> r� t <br /> � ` r <br /> SQO11024 --~— <br />