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EDINTERNATIONAL qm O y n 178584 <br /> TECHNOLOGY REQUEST FOR ANALYSIS R/A Control No. <br /> CORPORATION C/C Control No. ' 2-4R'S112, <br /> PROJECT NAME ��1 t� �TC'�C�� w� DATE SAMPLES SHIPPED l 14,Ig 1 <br /> PROJECT NUMBER 1QORU7 _Z LAB DESTINATION -'— C!3SL <br /> PROJECT MANAGER LABORATORY CONTACT 1 <br /> BILLTO � no hQ-(' C4,--AMJ0A SEND LAB REPORT TO <br /> cc. -1585 'Poo N2e-0 ^SY 1 J(A <br /> i <br /> MT7- CQ °IQSSS� <br /> PURCHASE ORDER NO. DATE REPORT REQUIRED l I) I9 <br /> PROJECT CONTACT `j• t✓1 .1�5 <br /> PROJECT CONTACT PHONE NO. <br /> Sample No. Sample Type Sample Volume Preservative Requested Testing Program Special Instructions <br /> OIA U + 'D) 7�;MX -ro+gl lect( <br /> 1 � Jv- <br /> GZA I% {aro <br /> v3P <br /> o4P cep-I m5Adb <br /> 0(e bT-L <br /> U'7 <br /> dg� 11 P <br /> Ile <br /> TURNAROUND TIME REQUIRED: (Rush must be approved by the Project Manager.) <br /> Normal Rush V (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 )e 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 /> Return to Client_ Disposal by Lab <br /> FOR LAB USE ONLY ' <br /> Received By Date/Time 1 <br /> WHITE-Original,to accompany samples <br /> YELLOW-Field copy <br />