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ANALYTICAL 200303 1257 03/20/2003 <br /> Chain of Custody <br /> TAT Standard Analyses Request <br /> BSKLABORATORIES LL ENG <br /> i FTHI <br /> 1414 Stanislaus Street Fresno,CA 93706-1623 320105 lt1111111111111 Requested Analyses <br /> (559) 497-2888, 800 877-8310 (559)FAX 485-6935 <br /> Client Name ' � f Report Attention <br /> �� <br /> � Phone <br /> rr_s Prof ect Quote of Put FAX <br /> Copy to System i <br /> LAB use only Sampled by Comment or lWN <br /> Date Time Station Code <br /> Smple typt Sampled Sampled Sample Description/Location <br /> it J <br /> t l L� <br /> d <br /> 1 IZ 13 { <br /> X <br /> ic� <br /> Matrix Type L Liquid S Solid G Gas Additional Services Additional Services!Charges Authorized By Payment Received with Delivery <br /> Type of Hazards Associated with Samples Rush Priority [1 2 Day [1 S Day Date Amount$ <br /> f] QC Data package Level II til or IV(circle one) Check# Initials <br /> [] Formal Chant of Custody (Signature) Receipt# <br /> rePrint Name Company ate Time <br /> 14"Rec /Relinqu1 <br /> r C <br /> Rete C' <br /> R ReRnqu b Cf <br /> R iv r to - '7Si7 <br /> Notice Payme ennces rendered as noted herein are due rt full within 30 days fr when invoiced If not so paid nt balances are deemed delinquent Delinquent balances are subject to monthly serwc re bdhn es and interest cal <br /> culated at 1 1121!.p r month 18%per annum 8Sit 8 Associates shall be entitled to recover on delinquent accounts costs collections including attorneys fees incurred prior to or in litigation whether concluded by judgment anent compromise <br /> ,. r,. _ ___ _____._ —n.__un.....,..... .,....--I —-- —,n,———ih—th.rll—t—ar ithnn—i--t of thn r ii nt <br />