Laserfiche WebLink
$_ y 5 <br /> 'tet <br /> i. TERNATL <br /> TECHNOLOGY ` RIA Control No. 2�r' � <br /> CORPORATIONREQUEST FOR ANALYSIS <br /> C. Con, of No. y <br /> PROJECT NAME �' SS�'��v—Ai"M DATE SAMPLES SHIPPED <br /> PROJECT NUMBER L�UtJ LAB DESTINATION X19 { 10�` <br /> PROFIT CENTER NUMBER j LABORATORY CONTACT J <br /> _ <br /> PROJECT MANAGER 1 J"A �v 71"t SEND LAB REPORT TO <br /> BILL TO _� Cr <br /> DATE REPORT REQUIRED <br /> 'URCHASE ORDER NO. lf,�.� �r PROJECT CONTACT l v�v <br /> 7 r <br /> PROJECT CONTACT PHONE NO. C_�-_�1 '�, Z ��_ h <br /> Sample No. Sample Typp Sample Volume Preservative Requested Testing Program Special Instructions '.+ <br /> 55 - <br /> LQGAJ - �i $ <br /> Tt:'1}} ah &0I��qTL <br /> T t E,oj Ta'X d IV w_ n <br /> -353- t Cc9 Cr �Y� b, <br /> 7UR Rush must be approved by the Laboratory Project Manager.) QC LEVEL: (Levels fI and CI subject to surcharge;project-specific requirements must be <br /> td,=ipasubmitted to lab before beginning work.) <br /> (Subject to rush surcharge.) I II III- <br /> Project Specific s <br /> POSSIBLE HAZARD 10F (Please indicate if sample(s)are hazardous materials andlor suspected to contain high levels Of hazardous substances.) <br /> Non hazard Flammable Skin Irritant <br /> Highly Toxic Other <br /> P, <br /> SAMPLE DISPOSAL:!: ; (Pleaso Specify) r i <br /> ( se indicate disposition of sample following analysis.Lab will charge for packing,shipping,archive and disposal.) <br /> Return to Client Disposal by Lab Archive�_ (Indicate numbei of month J <br /> FOR O LAB USE ONLY , <br /> { Received by DatelTime <br /> WRITE Ocig o' accompanysamphs <br /> , <br /> t:LLC eld c 1 .. .. k _ w 7 i I ,xn io a•. -, <br /> , <br /> { <br /> ,I <br />