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�. r161T GROWERS LABOR,TORYAfNC . cHAzN-or-cusTon <br /> Date: <br /> client) � nL�c/ cv�' ��,T /!'G!t o%COY-.•.._ <br /> Addrame. /,Lr�i �v b <br /> u <br /> a+ <br /> Phone: ���;�• }_ ,� - i` ,'�� _ .- a <br /> 41 <br /> Fax: ( '� C }- �i'.'- - ,Y.�� �° N ., •� <br /> -- •� �ar r1 <br /> a 4 trb a— <br /> � c� x <br /> L <br /> Project nave: !«rr s"� /. t0., 5- <br /> Contact <br /> Contact peracn: <br /> N p L d 0. S X v <br /> sampler(s) : % /-Ic � :° o >��+n u � <br /> `- co ••-• c ...r v c <br /> NR V <br /> Comp sampler setup:Date://`+ / ''I- Tiwe: n ":" � iw 0 i� � .. <br /> IA ° <br /> Time: Mileage: v o w ro e u x o x m <br /> C L a u L ,rt CL --v <br /> ✓ / M G N A aui L}S q L O m a > <br /> Purchase order number: <br /> M <br /> c e „� 7r •� N ti <br /> a o ., <br /> OA/QC report required: Yer Mo r/ u o � a -- <br /> v v Z <br /> Lab nuinbor: IJ L. :1 Ln <br /> EL <br /> Sam �• O L D A q vl in1b A 1r..2 V ILI }+ <br /> Location/Description Date Time a IIINM'c• <br /> N�tnl+nr Snmpled Sampled n uzo ��.v� <br /> ♦•+ILI- / rt,ar• f'c'r. •. ..,L rI - � o <br /> 71 <br /> Miac. not•v: Relinquished byt Datol Time: ca ved by: Date: Time: <br /> Ruth results due by. k . 2 <br /> rinal sarple oiaposition: <br /> Lab disposal: Return to Client: <br /> Meth. of dinp. : Date or ret. : / / <br /> i••..nr r•ir•... t .:,.. ,r.,,r g1hc+•6 I mtr:r�lnty held pN+tr <br /> . .� ,. . .,..••1.�,p.,......h11••.1 <br /> Vr,.ahq, Ca00dr•:7 <br /> 1• , a tlre,•+'� :•.+r!, 1Fl <br /> IMI 731 v-113 <br /> :I I e y nl y 1;+u1+t l Mobde-(Ml 736 6271 <br /> i <br />