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�vt1303016 °310`�/20��-� N� <br /> BSKWL Y T I C A L Analysequest <br /> -RATORIES FTHILL_ENG TAT: Standard Cham of Custody 2 <br /> 34056 11111111111111111111111111111111111111111111111111111111IIE Requested Analyses <br /> 1414 Stanislaus Street Fresno,CA 93706-1623 <br /> (559) 497-2888,800877-8310 (559)FAX 485-6935 C7 <br /> Ctlentrs`'ame Report Attention; <br /> LLPhone# <br /> Address Proi Quote or # FAX# N <br /> PIA � LEO 22-7 7A 67-116-3 <br /> lty-,State,Zip _ - Copy to; syste <br /> infit <br /> by, <br /> LAB use only Sampled Y Comment or 1 <br /> Date Time station Code <br /> —Pk tYPt s Sampled Sampled Sample Description/Location <br /> i rant <br /> I s SO[ t-- x r` <br /> a tiPT3 ' <br /> CV <br /> 0 4 vi- <br /> Sr A <br /> L 2- i <br /> Matrix Type:L-Liquid S•Solid G•Gas Additional Services: Additional Services!Charges Authorized By: Payment Received with Delivery <br /> Type of Hazards Associated with Sampks: Rush Priority: 11-2 Day l]-i Day Date: Amount$ <br /> [J•QC Data package:Level Il,In or IV(circle one) Check# Initials <br /> [J-Formal Chain of Custody (signature) Receipt# <br /> i <br /> 5 to Print Name Company ate Time <br /> Recciv tti.hed = r ,i� ,r�,6vi>E° r 3 �3 /o ' <br /> D <br /> Rccely e= � r <br /> L <br /> Receiv = 3 j <br /> Re7twed for-Ellborabry or <br /> Notice:Payment for services rendered as noted herein are due in full within 30 days from when invoiced.If not so paid,account balances are deemed delinquent.Celinquent balances are subject to monthly service/re-billing charges and interest re <br /> curated at 1 1V2 per month,1696 per annum.BSK&Associates shall be entitled to recover on delinquent accounts,costs of collections,including attorneys'Tees incurred prior to or in litigation whether concluded by judgment,settlement,compromise, <br /> or otherwise.The person signing for the ClientfCompany expressly acknowledges that they are either the Client or authorized agent of the Client. <br />