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Chain-of Cupsrt�¢od►y� RecordDate- <br /> o <br /> L Dat <br /> e: <br /> P <br /> a <br /> Pra}ec!No.: 0 WANALYSES` ON. -5 REMARKS <br /> Samplers(Signature:) 0 Additi <br /> onal Comments <br /> O O d <br /> C`ry' ❑ 2j L N <br /> W m mp O [1 1:E VI m c <br /> 8 O N T d �o ❑1n V m o <br /> Sample Number �' <br /> Date Time Sam a x m m m o <br /> P 1 a d <br /> wu wx uam us w'! <br /> LJ 52tas 161S 5a_ E3 <br /> 6 <br /> 163O 59 -13 - 5,5 <br /> 5 3-t,�- a.o 5 N ra `� 4 <br /> O rTIO Sg-ia -5-a y I <br /> D I(WO 5 NIfj1' <br /> 1435 _58-i+ - Z hl <br /> 440 _% i t -5, o V, S rj <br /> X50 �r- 1a. Q 5 tj tj <br /> l'sio 5B- +0 - a.v 5 <br /> 1� ISIS 50 -10- -�' o S .Ii rjY <br /> r is s - ,o _ ►o <br /> �� as a ❑quo SB- 5 I. <br /> Y t <br /> 0910 $- f 10-0 C� � <br /> r <br /> 005 <br /> 5B- •i- y S,p r±LLj �1 <br /> Laboratory: _ Turnaround Time: Results to, <br /> Total No. of Containers 15 <br /> Relinquished by (Sign ture): Date' Relinquished by (Signature): Date: Relinquished by (Signature); Date:— <br /> ►n.►�_ �� Method of Shipment: � <br /> Printed Name: ��� Printed Name: Printed Name.- <br /> _ <br /> per <br /> Time Time: Ttrne: Laboratory Comments and Loth No <br /> Company: Iq� Company: Company: <br /> Re ived by: ❑a Received by: date: Received by Date' <br /> Print Name: <br /> (n 6 Printed Name Printed Name; <br /> Ti e: Time: Time. � <br /> •` C3ecmetrtx Coneultante� <br /> Company: 9� Company- Company 21o1 wabaler Strgal, 17t1q Floar-Oaklnnll,CA 94612 <br /> I1 ff Phone. 510 663 4100 Fax: 510-683-474t <br />