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f ■ rK1K—LA.J1V—. V 1_1 Wi _ 111 _J—I ,al ■ I I ANLANALLSR4urSTAvvL8dAVA I I f <br /> INFORMATION <br /> 11�Y� I�l�<� x'11 ]Rush Analysis: 5 Days _2 Days_24hrs <br /> 7(:ustomer <br /> IV/EG O 41V'0A '90[l �-A���r. Sampler(s): " ( f�lU J <br /> Subject to surcharge <br /> Number Comp Sampler Set Up Date:— Time: QA/QC report required: yes no <br /> Il'yes,To: State —Client —Other _ <br /> Address: �� /Musa^l VIt1 Time: Mileage: <br /> Lab number: 0 Z <br /> Phone: <br /> 3lP7 - 3701 x <br /> z <br /> FAX: <br /> a 8 z <br /> (i0C'.�FdeQ G✓lNE77?Y c ; ' y' 41 F a" <br /> Project name: s ado d ■ m 44 z <br /> e z W <br /> Contact person: Zed OF iLJF G �� d 5 5 5 <br /> SAMPLE INFOR U90 <br /> 63s o <br /> sampleDate Time <br /> Number Location Description Sample Semple z> <br /> t. <br /> ' _.._ <br /> UNl 4 K <br /> t <br /> MEEMW <br /> Relinquished by. Date Timed Received Da 3�mio — <br /> _ Relinquished by: Date _Time Received by: Date Time <br /> Relinquished bv: Date Time Received by: Data Time <br /> PRECISION ENVIRO-TECIi 545 E. Cleveland, Suite A *Stockton CA 952041 Telephone (209)462-0892 * FAX: (209)462-7935 <br />