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• <br />CHAIN OF CUSTODY RECORD <br />Sw <br /> <br />S GS North America inc <br />- O 2979 East Center Street Conneaut, OH 44030 <br />O 1101 Howard Drive D <br />P Tel: (440) 224-2261 Fax: (440) 224-2808 <br />. eer <br />ark, TX 77936 Tel: (281) 930-1919 Fax: (281) 479-4969 <br /> <br />O 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: (410) 355-1958 Fax: (410) 355-1965 O 4665 Paris Street, Suite B-200 Denver, CO 80239 <br />O 2804 Hackalhome Lane Gillette <br />WY 82716 Tel: (303) 373.4772 Fax: (303) 373-4791 <br /> <br />O P.O. Box 850 Sophia, WV 26921 Tel: (304) 255.0422 Fax: (304) 255.0417 <br />d 216 Oxmoor Circle Birmingham, AL 39209 Tel: (205) 942-3120 F=(20S <br />g42 <br />0 , <br />O Route 2, Box 162A Middlesboro, KY40965 Tel: (307) 682-7917 <br />Tel: (600) 248.4205 Fax: (307) 682-7951 <br />Fax: (606) 248-0044 <br />) <br />- <br />914 <br />05793MacCerkInAvamtaSF O 15550 N. Lombard - Terminal 5 Portland, OR 97203 Tel: (503) 285.5905 Fa.• 150'!1 9RK_5nea <br /> _ ..-.. I--,, a?_vv rte, ?JVYf 7L7 d0// u 101JU van Urunen Road South Holland, ILS0473 Tel: (708) 331-2900 Fax: (708) 333-3060 <br /> SGS Reference: <br /> PHONE NO:(7 jOO <br />` 1 PAGE??OF <br /> SiTE#WSID#:: No s?E t W 00 <br /> <br />e C R ah° <br />" e <br />14 <br />2 <br />14 FAx No.:( <br />T <br />o <br />mp <br />c <br /> <br />O <br /> QUOTEM A 0= <br /> I GRAB <br />2 P.O. NUMBER: E <br /> - <br />SAMPLE IDENTIFICATION DATE TIME MATRIX R <br />S <br /> <br /> REMARKS <br /> ?'t5 Sw 2 <br />.rc <br />(2) <br />I Relinquished By: (3) <br />By: <br />Date Time Received By: <br />.?' 0 <br />Date Time Received By: <br />Date I Time <br />lime <br />Q? ??q 4 <br />By: <br />White - Retalned by Lab <br />Shipping Carrier: V ?$ <br />Shipping Ticket No: <br />Special Deliverable Requirements: <br />Requested Tumaround Time and <br />Yaxew- Rh.-.A - .- <br />Samples Received Cold? (Circle) YES NO <br />Temperature C: . <br />Chaff Custody Seal: (Circle) <br />INTACT BROKEN ABSENT