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I x <br /> Sample Transportation Notice <br /> 1 TOXICS LTD, RalineuLRhing cin this documerit indit;aR3S that sample is beifto shipped in oomplsanim 180 BLUE RAVINE ROAD, SUITE B _ <br /> ,rf WM IP16Nilr:NaTAL MA`Y7MAL LADORAT4fiv' with Ail ppnliCabiP focall.Stare,Federal,national,and international laws, egulawns and od'narces FOLSOM, CA 9666804719 <br /> j of any Idnd.Air Tmdos Limited assures no IiebTdy with respe<;t io the oolisction, haidiing or (916)9$5-1000 FAX(91 B)985-1020 <br /> shipping of these satrptes. Relinquishing eignaWre also indizates agrocriol;to hold harmleiss, <br /> CHAIN-OFOUSTODY RECORD oa&nd,and indomniP/AirTO[=Lirrftedagainstany aeim,demand,or odor..,ofarrykind,r4lated <br /> to the odledion,hand ing,or 3'I Gping cf samples.G.O.T.I lotline(80D 407.4M. Page of <br /> contact Parson-Lr1 t ProjlaC# Into: Turn Around Uss G1r,ry• ;. <br /> company i Email <br /> Time! •Pressurized <br /> El Norm. Date; <br /> Address (:ity c 5tata p <br /> phoneFax Project 6 • G � � EIRush press anon Gas, <br /> : .• <br /> Colloctod by:jr,rZz+lturol Projw Name 3J9wry tit? <br /> '' Canister PressuroNacuum <br /> ILa3�.l:la: Field Sample I.D. (Location) ;Cant Dake Time Analyses Requested oro- j I ~Reoeip •.'FiRM . <br /> .awl <br /> +Aff <br /> i <br /> AVb AOW4w—f kb_ <br /> ' �� ,��'-� _ eta �� • . .�.. <br /> Re6n d bt`(signsturrs) r?MeiTlrne 9fteived by: (st re) Datpurrime Notes:; <br /> U: isignaWrel DqWime �RowlverGeived D Mme <br /> (sfgnaturel Derbe;Time sign N Dater... <br /> >.:'Sl lipp r_Nar(�e'•;•' :Ai'r.81114, T nlp{�+C) ii'ton Gusbomer Seals'lri Work0 512 Z 42 <br /> •()7der# <br /> f�vri�i <br /> ir <br /> ,Only-' 1 <br /> I <br /> • rcrn 1183 rs,,i C <br />