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lb I <br /> PRECISION ENVIRO-TECH t DAANAALYSISOREQ ES DO°MENT r ' <br /> hit: // www Precision Lab. Com <br /> DETAILSCLIENT REPORT INFORMATI7N' <br /> Client: A R' III^_& 6 (- llt il C, 700"7 <br /> s): (I Rush Analysis: 5 Days _ 2 Days_24hrs <br /> Subject to surcharge <br /> Customer Number: �z �% 1�,tompampler Set Up Date:— Time:_ QA/QC report required: yea no <br /> Address !1�tl ` �I' ��11 C i yl Y t•nL If yes,To: State_Client _Other <br /> • Time: Mileage: <br /> Y✓ �/` _ 17. U,K Lab number: <br /> Phone <br /> U <br /> FAX �Z/J 9C % - I' '` a�a s x e <br /> ° o <br /> �! p � •� 9 n 'i \r q �. <br /> Project name: ft�X �" 3 Q Fj 2\ s y <br /> li m <br /> 1 g G In a 9 � <br /> hy x A� ( e <br /> Contact person: f V l I!U i Yi ��j c rl S �g o m .. ` o`� y <br /> z S - V ro3 .. <br /> 0 <br /> SAMPLE INFORMATION <br /> Sample Date Time <br /> Number I.00atlOn Description 5 mple Sample x'� w_' ��_ �;, ' y.N..j U <br /> 1 L I'd �7 %S 1: La" G pf X <br /> -T7 <br /> I:i •u f, X <br /> / <br /> � P! <br /> 7 r�.7 I J"vii � •J I/ � �, X <br /> CUSTODY <br /> Relinquished by: Date Time Receivedlby: \ C� ( Date\ ( Date}Time • *? ,• *? <br /> Relinquished by: Date Time Received by: Date Time <br /> Relinquished by: Date _Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 2040 E. Harding Way Suite B *Stockton CA 95202*Telephone(209)462-0892* FAX:(209)462-7935 <br />