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C�TCEY FMCMD . 3..1T <br /> i..Y � '� '. _ � - �;� � • Imo/ �✓�Y �� ���li ^- _ <br /> WOOd8071 N,tender Avenue <br /> ­'P.O. Box 937 t <br /> .5� <br /> Hilmar,y�.,. Hc. r/t <br /> Labs a California 95324 <br /> JC (209) 667-5258 r`' Attention. Phone <br /> O 9p (209)667-2581 <br /> Page 1 of <br /> O -RA 7 o R FAX ' <br /> Job Number. ' PO 8. Project Name , <br /> \Co <br /> Samplers:{signature `i 7 s' Slte Address <br /> SAMPLE SAMPLE - NO. Q <br /> DATE TIME SAMPLE INFORMATION OF " REMARKS <br /> NUMBER TYPE CNTRS /CQ � <br /> -I 9th 901 <br /> SP- <br /> a ctt; -1 <br /> 5P-(v 11,79$ 9 <br /> P- 3S <br /> P-13 - <br /> SP- �4 , <br /> yP' l iI ce+ osiri: Six-ll ►Z t3 14 I5� <br /> p' 14qV tg A -� <br /> Relinquished By: Signature) Datemmeived B (Signature) DateMme Ship Via: <br /> CA. p f <br /> Relinquished By:(Signature) Dati/7iA AeceNed By:(Signature) D tame <br /> TURNAROUND TIME: MM <br /> Relinqulahed By:(Signature) Date/Time Received By Laboratory Date/Time ❑24-HR ❑48 HR 5-DAY ❑ 10-DAY <br /> DISTRIBUTION:Original-Accompanies Shipment: Canary Copy-Sherwood Pink-Sampler NOTE:Samples are discarded 30 days after results are reported unless other arrangements are made. <br />