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PREEISION ENVIR.[]=TECH CHAIN OF CUSTODY <br /> Ah"D A7VALySIS REQUESTDOC•UMENT <br /> Rush Au4,sie: 5 Days_2 Days_24]us <br /> Clieri : 1' dr y. Sampler(s): <br /> Subjent to surcharge <br /> Customer Number, <br /> Comp Sampler Set Up Date:._.—. Time: QAIQG report required- yes no <br /> Addrere: q0 Time: If yes,To: Mate Client Other <br /> r Lab number: 50313 B <br /> U � S <br /> FAX: <br /> R o ^• <br /> Project name: )F .Y e a_E� = g p <br /> Cr <br /> 1 <br /> v <br /> CDilt&Gt F38I'BOII: Iwo <br /> pipy <br /> V. <br /> a a m <br /> Simple 4 ate Tune �` ' .° <br /> Number Yo19� �`s�` `E e[bY! ,.maple Benipt z `� <br /> rt � A <br /> xH— <br /> tcettngute.tteo mte %W J"- A(w_ervPEf hg:___1- 'w u e --�Q I3at�Time <br /> Ptelinquiehed by,. Date . Tinw-Received uy: Date_.Tine <br /> w mlinquisiseri itis"• &ate Tinte._ Recei+&d by: <br /> : I3ttfe pmt <br /> (PRECISION FI'-WIRO-TECH 7743 N_gest Lane,Suite B2*Stockton CA 95214*Telephone(209)477-8105 PAX:(209)477-8148 <br /> L�1 L= L:; L= LL—_t [ l L.�' L',e:.;..'' L=J L.:-- ' L_' L— L::. uz L:.-z C= Lz: LZ2. <br />