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- CHAIN OF CUSTODY RECORD <br />SGS North America Inc. <br />J 1501-A East Patapsco Avenue Baltimore. MO 21226 Tel: (410) 355-1958 Fax: (410) 355-1965 <br />J P 0 box 850 Sophia, WV 26921 Tel. (304) 255-0422 Fax. (304) 255-0417 <br />J 216 UxtTtlwl Circle Birmingham, AL 36209 Tel. (205) 942-3120 fax: (205) 942-0914 <br />J 57:.13 MacCorkle Avenue SE Charleston, WV 25304 <br />n Tel: (304) 925-6631 Fax. (304) 925.8877 <br />J 2979 East Center Sweet <br />j 1101 Howard Dtrve <br />J 4665 Pans Street. Suite B-200 <br />J 2804 Hackathorne Lane <br />J Route 2. Box 162A <br />J 15550 N. Lombard - Tarmmal 5 <br />J 16130 Van Drunerr Road <br />Conneaut, OH 44030 let (440) 224-1261 <br />Deer Park, TX 77536 Tel (281) 4130.1919 <br />Denver, CO 80239 Tel (303) 373.4772 <br />Gillette, WY 82716 Tel (307) 682-7917 <br />Middlesboro, KY 40%6 lei ('606) 248-1205 <br />Portland, OR 97203 Tel (503) "285-5905 <br />South Holland, IL 60473 Tel (708) 331.2900 <br />Fax * 24-22118 <br />Fax 1281) 479-4969 <br />Fax (303) 373.4791 <br />Fax (307) 682-7951 <br />Fdx.(608)248-0044 <br />Fax (503)285.5086 <br />Fax 1708) 333-3060 <br />c.uErn v .1 ?D (7 ?© <br />1iVV t? SGS Reference: <br />14 <br />i)rtIACT - <br />PHONE NO(g70) <br />g44 <br />?90 <br />7 4/// ^ (9 e( /(0 <br />! PAGE___ ? _- OF <br /> ? <br />. <br /> <br />i'f-?C1,it-CT ITI:,/F'?VSIO# <br />---• ^_"" <br />No <br />SAMPLE <br />TYNE Fie.rc,atres <br />Used <br /> A <br />l <br />REPORTS T(> Op?ax <br /> <br />{_ <br /> <br /> <br />f?c) ca.lk. ? gig Zq' FAX NO (9 70) S(. ? Z! l.. a G <br /> <br /> <br />O <br />N <br />T <br /> <br /> <br />= <br />;oMF <br />ira <br />ysls <br />Requne5tl <br /> <br />3 <br /> <br />%IVOICE I r> AA rt-W SUAZA.L-.S QUOTE <br />Pogo ?. 4 cg <br />PO NUMBER <br />2 tk-t.A . Cv t W <br />A <br /> <br />N <br />E ?? aT <br /> <br />LAB N"') <br />SAMPLE IDENTIFICATION <br />DATE <br />TIME <br />MATRIX R <br />S <br /> <br />REMARKS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />S 4 <br />C:ollectel+Relingw By:(1) Date <br /> <br />1'd/.cl, Time <br /> <br />1200 Received By: Shipping Carrier: <br /> <br />Shipping Ticket No Samples Received Cold9 (Clrcl YES O <br />I o <br />Temperature C <br />Reiinqulsh, y (2) Date Time Received By: Special Deliverable Requirements: Chain of Custody Seal. (Circle) <br />WTACT BROKEN ABSENT <br />R(Ainqui_,hed Sty: (3) Date Time Received By: Requested Turnaround Time and Special Instiuciwns: <br />Relingi.n5hud By: (4) Date Time Rec IV By: