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PREEISION ENVIRI]-TECH DxA�NIoQcu DoonYT <br /> REPORTCLIENT DETAILS SAMPLING INFORMATION <br /> Rush Analysis: 5 Days tx 2 Days_24hrs <br /> Client' C Sampler(s): <br /> Subject to surcharge <br /> Customer Number:— no report required: yes no <br /> Comp Sampler Set Up Date:.— Time: <br /> Address:O; If yes, To: State Client Other <br /> ��/ �/ Time: Mileage: _ / Z Q <br /> Lab number: /� / U � <br /> r ` YJ✓ <br /> one ` <br /> ^ <br /> FAX: " _ 6 <br /> a s�' q ° z <br /> o V <br /> 00 <br /> a a W.c V 0 <br /> Project name: <br /> z <br /> fi ? x <br /> �r <br /> Contact person: F z v z o �` 41 <br /> zca <br /> W e m <br /> SAMPLE INFORMATION ca E� <br /> o d� o m'r�3 Z N � aQ' � <br /> Sample Date Time d a 3 d x O <br /> Number Location Description Sample Sample z'o ? �? �' w ' U <br /> v � xc <br /> REMARKS 'CUSTODY V) <br /> Relinquished by: AIA Ato Time Received b Dated ime 3E <br /> Relinquished by: ate im Received b Date e . <br /> Relinquished by: Date Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 545 E. Cleveland, St. Suite A* Stockton CA 95204* Telephone(209)462-0892 *FAX: (209)462-7935 <br />