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�-�..--. ,}f�- <br /> Cham-of=Cus od Record N_ 6 g j' LfV Dale S -7 _ Page of <br /> Project No.: C 3yq 9 .B ANALYSES + REMARKS <br /> sampi rs Isignaturesl: <br /> w Additional Comments <br /> 3 t o n v o r v 1 / a L 14APP,QA sample$,etc.) <br /> 0 OD CO 00 00 <br /> „ Q n n n a m V <br /> r_ r c z o V c <br /> 3 w m a. a~i n p p 13 n m �i <br /> c <br /> Date Time sample Number 019, a a a a a a a a ` _ p " o <br /> ,n�° w w F w r^ u LL ¢ Z <br /> S`3 I/:IO AI VV-Z 1n/ _ X 0 <br /> JALe4,SE Cl trcK <br /> J)6 1-h AIC, T_/IV\ <br /> Turnaround time: Results to-. Total Na of containers: <br /> STAR&RI :►L� J" )j <br /> Relir fished bylsi at . qat Rei quished by(signature): D Relinnuished by(signature): ate: Method of shipment. <br /> /( FES E X <br /> Printo Narne: Printed Name.- Printed Name: Laboratory Comments and log No.: <br /> I ]EI�-�y)1 �0-9— Time: Time: Time: <br /> Com�Y. -�—p Compan Comp <br /> R ved by i$igna[ure): Rec <ved by mgna[urel: e: Re v by ria el: Date: <br /> Printed Na111e. Prin[ed Name: r a <br /> Time: Time: ,,)_f! C3e0matrlx Consultants <br /> me' 2444 Main StresL,Suite 215 <br /> Corr, y: Compa Comp ny: !� Fresno.C6Bornis 93721-2-734 <br /> [20912154L-L535 <br /> [2OS]264-7431 FAX <br /> Distribution: White,Yellow—taboratory Pink Originator <br />