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PRE I5IHN ENVIRO-TECH DHAAINIO QCu DoODYT <br /> 75 ©31PC -0 ) - <br /> CLIENT DETAILS A oy <br /> REPORT .R <br /> Rush Analysis 5 Days _ 2 Days_24hrs <br /> Client 1 Sampler(s) <br /> � Subject to surcharge <br /> Customer NumberQaiQC report required yes no <br /> Comp Sampler Set Up Date Time <br /> Address SOS Time Mileage if yes,To State Client Other <br /> NUJ20(c Lab num' <br /> Phone x I <br /> q S <br /> FAX <br /> pia x " <br /> FAX "[ . a a 8 c z 5 <br /> �,,� a z•:� <br /> cis' <br /> g o 4 <br /> Project name F o <br /> lb <br /> Contact person _ ^1 ,I <br /> �110 cu <br /> • ' 3 <br /> Sample Location DescriptionSDate p5� <br /> Number ample Sample I <br /> Z`yd <br /> • l <br /> A G� <br /> • <br /> s� rr \� <br /> Relinquished b Date Time Received by �L�o Y+ 1Vn n DateTime Z <br /> Relinquished by » DateZ 2CSTime I Received by �1 Date 311141 Time <br /> Relinquished by Date Time Received by Date Time <br /> PRECISION ENVIRO-TECH 7743 N West Lane, Suite B2* Stockton CA 95210 * Telephone(209)477-8105 *FAX (209)477-8148 <br />