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EFTA00132208_sub_001 - EFTA00132208_100
Instructions Initial Receipt Date and Time • El M M I IAZMAT Req. Charging Biohazard Other • M talents Freeze M 0 FGJ Refrigerate Signature of Seizing In. 1' ft6)iq I I !ookey Printed Name/Agency: Reason: Initial Collection Collected By: SA Agency: trai Relinquished Custody Date and Actepted Cu
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