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ANDANYALYSISMUNSTDOC AMEM <br /> m11 EPORT INFORMATION <br /> ! Sampler(s): (1 `� Rush Analysis:5 Days^2 Days 84hrs <br /> a. 7CIient: �tU�� ` uf-QHS Y �,_ — — <br /> Composite Sampler Setup: Subject surcharge <br /> Customer Number: Date_ Time: QA/$C report required: yes Do <br /> Address: P. <br /> 0. 130A 2,1$O Subjectto Surcharge Field Sampler: !f yes,To- State Client Offer <br /> p� <br /> DI l r`4 1 Time b ilage: Q �. <br /> Lab number: <br /> w Phone: ?. 3 xUNIUMM <br /> O S 4 <br /> z FAK: � —o7 Z3 a � o sample Temperature: Celsus <br /> s� <br /> LL. a Making.()Broken.( )VOA Headspace <br /> P is g p a <br /> o Project nf5e-� custwy Sed()YeJ O noame: 9 � � 1s � <br /> W Contact person: AM V•G—'My <br /> 9 Ice Chest ()UPS (Wed Ex WDropoff ()Mer <br /> Sam le Date Time ae` m�Ec z <br /> Number Location Deseription Sanpte Sample � 19 �s � � m a <br /> Z-102.0 IF-All-T44 F&*O1 12-'K <br /> m <br /> w <br /> uz <br /> CP <br /> m <br /> C4 <br /> e <br /> LO <br /> Cn y <br /> M Relinquished by Date r�- 7 Mme �'22'_Received by: Date Trois ` <br /> cv <br /> m <br /> Relinquished by: Date Time Received by: Date " 'Time <br /> � Relinquished "oy- Date Tune Received by: Date Time <br /> -1777N <br /> 3935 N.Corona&Ave.4 Stockton CA 952A4 Telephone(249)477-8105*FAY:(2091546-7497*Email:Peta1545@sbcglobal.net*www.patauaab.com <br />