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® INTERNATIONAL R/A Control No. �' C <br /> TECHNOLOGY REQUEST FOR ANALYSIS <br /> CORPORATION C/C Control No. <br /> PROJECT NAME Carnation tank assessment DATE SAMPLES SHIPPED rar•,ry 1�, 10pr <br /> PROJECT NUMBER fcrnngq LAB DESTINATION TT - C-rrito•- <br /> PROJECT MANAGER J.A. Sloss LABORATORY CONTACT <br /> BILL TO TT rnrpnrnt4cn _ Eavirasciencr SEND LAB REPORT TO J.A. Sloss <br /> 1815 Arnold Drive IT_ - rnvdr^sclerce, <br /> Martinez, CA 94553 <br /> PURCHASE ORDER NO. DATE REPORT REQUIRED r t .• �. 1 r, <br /> PROJECT CONTACT A. s]nc.s or °-A- rl A, Ar <br /> PROJECT CONTACT PHONE NO. (AI c)-212__^!t ng / <br /> Sample No. Sample Type Sample Volume Preservative Requested Testing Program Special Instructions l <br /> 1114 82 59 raffis 'r 1-, c _ ' carbc <br /> � - <br /> QIAI 5P <br /> fn- -r <br /> '- ' carbc <br /> - . - <br /> TURNAROUND TIME REQUIRED: (Rush must be approved by the Project Manager.) <br /> r <br /> �.,1• . `}- ="-Normal x Rush (Subject to rush surcharge) <br /> POSSIBLE HAZARD IDENTIFICATION: (Please indicate if sample(s)are hazardous materials and/or suspected to contain high levels of hazardous substances) <br /> Nonhazard X Flammable Skin Irritant Highly Toxic Other <br /> (Please Specify) <br /> SAMPLE DISPOSAL: (Please indicate disposition of sample following analysis.Lab will charge for packing,shipping,and disposal.) <br /> Retum to Client— DIsPotelby Lab ;;—nftcr approval by project manager <br /> FOR LAB USE ONLY <br /> Recelved By Date/Time <br /> WHITE-Original,to accompany samples <br /> YELLOW-Field copy <br />