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Reporting Information <br /> 1 Client > American Environmental Netk AEN Page of <br /> Address 7 c 3440 Vincent Road,PleaSant Hill CA 94523 <br /> Phone(510)930-9090 REQUEST FOR ANALYSIS I CHAIN OF CUSTODY <br /> Contact FAX(510)930-0256 Lab Job Number <br /> Alt Contact 0 Lab Destination <br /> Date Samples Shipped <br /> Address Report To Send Invoice To Lab Contact <br /> 2 3 Date Results Required <br /> Date Report Required <br /> Client Phone No <br /> Client FAX No <br /> - Gr" . <br /> Send Report To 1 or 2 (Circle one) ANALYSIS <br /> Client P 0 No Client Project I D No <br /> Sample Team Member(s) <br /> Lab Client Sample Air Date/ Sample No Type ti <br /> Number identification Volume Time Collected Type* Pres of of �` <br /> Cont Cont Comments/ Hazards <br /> - 4. <br /> Relinquished by DATE TIME <br /> (Signature) Received b DTE TIME <br /> y <br /> L <br /> (Signature) <br /> Relinquished by ATE TIME Received by DATE TIME <br /> (Signature) <br /> (Signature) <br /> Relinquished by DATE TIME Received by DATE TIME <br /> (Signature) (Signatu(e) <br /> Method of Shipment Lab Comments <br /> 'Sample type(Specify) 1)37mm 0 8 pm MCEF 2)25mm 0 8 um MCEF 3)25mm 0 4 Nm poiycarb filter <br /> 4)PVC filter, dram pore size 5)Char al tube 6)Silica gel tube 7)Water 8)Soil 9)Bulk Sample <br /> 10)Other 1)Other is <br /> COPIES WHIM JOB FILE W PROJECT FILE PINK CLIENT <br />