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per, Nra <br /> I14TERNATIONAL <br /> TECHNOLOGY �a 9�J 7 <br /> CORPORATION REQUEST FOR ANALYSIS RIA Control No. <br /> C,C Control No. I.q 7 9,?-5 { <br /> PROJECT NAMEHJT_�_}�TCL�( r�� DATE SAMPLES SHIPPED <br /> PROJECT NUMBER 90 LAB DESTINATION <br /> PROFIT CENTER NUMBER 354-1 _ LABORATORY CONTACT n e w t C h a W t <br /> PROJECT MANAGER r.1 WYNN SEND LAB REPORT TO DA N W f Iti'N `1 TC TI I> <br /> B:LL TO _ I CO r< <br /> 45 f3 Fl��. E ' v <br /> 4565 ?A 'RLvf� i�l rf 12 m <br /> �. 1tkJEZ� C6- crtlaI- 3 � I <br /> �A I N E Z [ r� S ?� DATE REPORT REQUIRED 1 O m <br /> R F�C1cANf] <br /> PURCHASE ORDER NO, PROJECT CONTACT AN tJN <br /> PROJECT CONTACT PHONE NO. —L-($—0 C)° 3 L!n— 2 (a <br /> Sample No Sample Type Sample Volume Preservative <br /> Requested Testing Program Speciai tnsuuctions <br /> s S t_ I <br /> C 'S' 1Pqe� f r•ffSl 'r x k <br /> 1 <br /> n i F { ICA 4L _ <br /> I x irto <br /> r65:1, , <br /> S r.. <br /> r r r <br /> i t• S <br /> O C) <br /> rr <br /> r „ ; <br /> So { !� 73,r S az <br /> e <br /> TURNAROUNDITIME REGUIP.ED: (Rush must be approved by the laboratory Project Manager.) OC LEVEL; (Levels II and III subject to surcharge;project-spocitic requirements must be yt <br /> Normal Rush II SS submitted to lab before beginning work.) a <br /> r� (Subjact t� surcharge.) f II <br /> III Project specific <br /> Lon-har " 1 <br /> POSSIBLE HAZARD IDENTIFICATION: (Please indicate it sample(;)are hazardous materials and/or suspected to contain high levels of hazardous substances.) <br /> d t1 <br /> Flammable skin trrit ofa <br /> Highly Toxlc011ier <br /> SAMPLE DISPOSAL: (Please indicate disposition of sample following analysis.Lab will charge for packing,slit m archive and disposal.) IPleew Specify) <br /> PP' gr l E: <br /> 01 <br /> Return to Client Disposal by Lab Archive (Indicate number of months.) <br /> FOR LAB USE ONLY <br /> Received by f r ,,, r.• i <br /> Date/Time <br /> WEITE Qrl_,ld i,to accompany samples <br /> l I _ <br /> i <br /> .:... - - •'III- ) <br /> ®� —r. ®4��9Cr�rmselaraeerlAt�ll�aaaei��ev����sees,m.m w.�e - _ <br />