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•,:- <br /> I n <br /> (IRTC <br /> Company Name 7 I I <br /> Projecl Nanle: ^ <br /> / ij <br /> ilc3!xrt4 <br /> fvlathng Address; 7Pa AUQ- Blllin Address If diflerenl <br /> L g ( ): <br /> /1Slate: <br /> City: CA -Zip Code: /53QI � <br /> I <br /> Telephone: Zoq - FAX 1: '2()9-5 19 1225` Po. it: <br /> Report To: Sam)ler. QC D - -- <br /> ata: Level D (Sl lndald) L) L vr:i I <br /> Turnaround XI0 Working Days U 3 Working Days U 2 -8 Hours U Drinking Water AI lalysl R :,Pn: I<;ri <br /> Time: U 7 Working Days U 2 Working Days U Waste Water 7 - <br /> U 5 Working Days U 24 Hours <br /> Client Dale/Time Matrix k of Cont. <br /> Sample I.D. Sampled Desc. Cont. Type Sample <br /> 1W. MI 092O2 d al<r '� T4s► c _rL -_ v� ` 'I - —� I ri <br /> id It 'I j <br /> — — ----- --- <br /> 1 2- <br /> -- --- ----- -- — - !! <br /> .- - <br /> 6. - — - <br /> 7. <br /> J. <br /> / � I <br /> Relinquished By: Dale: Time: 700 Received Hy: — — <br /> Relinquished By: Date: Time: Received 13y� F I <br /> - IHII,: i Illlr: <br /> Relinquished 6Y: Dale: Time: Received ISV I at) I <br /> - <br /> \Neie Samples Received in Good Condition? U Yes UN. Samples on Ice? Yes O l lu <br />