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F <br /> l / <br /> ; <br /> INTERNATIONAL ' <br /> 4 . <br /> TECHNOLOGY <br /> CORPORATION-.. , REQUEST FQ;?ANALYSIS RIA Control No. 7 6 O 0 5 <br /> PROJECT NAME �, y r` CIC Control No. SC�I! 7 <br /> "1 oc iCf4 1' DATE SAMPLES LAS DESTINATION SHIPPED – <br /> PaOJECT NUMBER <br /> PIROFIT CENTER NUMBER,_.. �:� 3 <br /> LABORATORY CONTACT <br /> PROJECT MANAGER S . 1-7 I L LS <br /> SEND LAB REPORT TO -F--r C�;=, ,A i lrs1� <br /> �_-- BILL TO _. <br /> rtT-4 tlrlie c - <br /> DATE REPORT REQUIRED �D • T <br /> PURCHASE ORDER NO. <br /> PROJECT CONTACT ,zz. ► tHf L i - <br /> !—� PROJECT CONTACT PHONE NO. Lis7 ci <br /> li <br /> Sample No, Sample Type Sample volume <br /> Preservative Requeslod Tusting Program 1 1, <br /> Special Instrw ns } <br /> i;ne r q �/ J� CD Ll PC,rz 1� >r "uL-,1 <br /> a FSE AuryLY.eI �] <br /> �i o r 1129 a 15�_� - <br /> q +hlnrr.-r Yr}rIt, f <br /> dsar,.' <br /> , <br /> TU. NAAOUND TIME REQUIRED: (Rush mus!be a — <br /> pproved by the Laboratooy Project Manager.) QC LEVEL: <br /> Normal requirements must be <br /> (Levels It and 11F subject to surcharge;Projecl-specific require <br /> ✓� Rosh (Subject to rush surcharge.) submitted to lab before beginning work:) <br /> 1 '/ p III <br /> POSSIBLE HAZARD IDENTIFICATION: <br /> (Please indicate If samplers)are hazardous matorials and/or suspected to contain high levels of hazardous substances.) <br /> Non-hazard <br /> S4AiPFlammable , <br /> Skin irritant q <br /> Highly Toxic Other <br /> F. <br /> ILE DISPOSAL: (Please indicate disposition of sample following analysis.Lab will charge for pacing,shipping,archive and disposal.) <br /> (Please Specify) <br /> Relum to Client Disposal by Lab_/`Il <br /> Archive (Indicate number of months.) ) <br /> FOR!JIB USE ONLY <br /> RCcelved by 6 <br /> a <br /> raw.rnas <br /> _ r N� <br />