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PRECISION ENVIRO-TECH DANAINIO QUESTDOCOUMMENT <br /> hit: // www Precision Lab. Com <br /> CLIENT DETAILS REPORT <br /> i �� �i�_{ �' / I�Li � I Rush Analysis: 5 Days _ 2 Days_24hrs <br /> Client: +� Sampler(s): Y+G�+ -a��i 'e <br /> /r Subject to surcharge <br /> Customer Number: V <br /> A 1 Comp Sampler Set Up Date:— Time: QA/QC report required: yea no <br /> Address: "jo ` ' `I' V/ I e I I Y 1 'U-t If yes,To: State _Client _Other <br /> / p L/ Time: Mileage: <br /> f l e k-'4.'y✓ (^/A 'j 12 U,_r Lab number: <br /> Phone: ( Jtiq 1 46 7 l el-L 9 _ <br /> s m <br /> FAX: 0 5 <br /> �. v m 2me g � �7' q <br /> Project name: %� �' s m a vi ,L <br /> 01 Contact person: pc ('I <br /> eg o <br /> > 3 <br /> 14 <br /> SAMPLE INFORMATION <br /> SampleLocation Descri t10II Date Time d Sao <br /> Number p S mple Sample f z> <br /> 1 I:- IV t 4 r�r x K <br /> -j - F <br /> � CUST <br /> OD <br /> Relinquished by: Date Time Receivedi,by: (L �. � Date Time b-ZZCI <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 />