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-- - 0— --- --- <br /> 40 0 <br /> 4+d�lNUNIE yhNV1HUNNu-- �TAL C1-C1 -vr-Cu,-jT0u i FaCWHu s-AS t ,,.—SEC. <br /> (See Reverse for Aruchons) NO O 5 _f , <br /> PROJECT NAME r��.r �,i�� i �L r SAMPLERS R,, � SAMPLE CONTAINER SAMPLE DESCRIPTION CODES TAT CODES � <br /> Pni 5-1 DESCRIPTION CODES A G,w d waea, F O,5- <br /> PROJECT NUMDER-L�l ti LIP- _ A 410."1 VDA Yral B s„,Me war., G wa.t, r S"Ma,d <br /> ISIGNI -- a Glass Liter E alass lupe C Leachale 14 B1m+U4Prhe 2 48 Huu1 <br /> RECORDER --- - ---- c Plastic 590"1 F Orr` o FI-0,16 t rnns, 3 2+Haw <br /> [strr�l- 0 Malik Lela _ _- F sausewm.rtr _ __ 4 O,nsr <br /> NIIMSEn OF ANALYSIS REQUESTED LABORATORY USE ONLY <br /> CON I AINERS ---" — <br /> ANO <br /> �- a; PRESERVAIION I4 7 <br /> ,RA <br /> •' x �� I� �� SAMPLE <br /> ? ,, <� "$ NOTES ASSIGNED CONDITION <br /> DAT£ TIME SAMPLE ID �� ; T a 3 g aOTILE UPON <br /> NUMBERS ,CEIPT NOTES <br /> 7jr <br /> , --- <br /> 9 112 <br /> -It ll <br /> NOT ESI MISCELLANEOUS by Sig _ <br /> etlnq Is by 51g lure) R cerred 8y (Signature) Dale Tlme <br /> e'rnqurshed y (Slgneeure) Received By (Stgnature) Date r Ime <br /> Relinqutshed By (Signature) Received By (,S,,g-n-aIura)�1 Date -*- Time <br /> — <br /> Method of Shipment Descnpllon ol— Othet Chains Ot Custody Dlspalched By [Srgnatt e) Dale Time Received to lab 8 f(snature ate —Time <br /> Transpott Container Transported with this f <br /> -—- Chain(by Serlat No — <br /> Send Lab Results to (Name) �;,_�.�.,,L�� ,„at i Ian? .., .44k.. 1 W., _— (Check Office Below) Ve als Req esled Yes ❑ No ❑ <br /> ❑ PORTER U SAN MATEO 002, ❑ ORLANDO t OTHER <br /> TEL(219)926.8651 TEL(415)573 8012 TEL(7 14)757 1755 TEL(407)856-7428 TEL-�Jj,3n r p <br /> FAX(219)926.7169 FAX(415)573 56-A FAX(714)757 0960 FAX[407)855-2595 FAX <br /> U DENVER U KING OF PRUSSIA ❑ HOUSTON U MT VIEW ❑ OTHER <br /> TEL(303)790 1747 TEL(215)337 2551 TEL(713)556 1666 TEL(415)960 1640 • TEL <br /> FAX(303)799 0186 FAX(215)337 0560 FAX(713)556 0666 FAX(415)960-0739 FAX - <br /> F CANON)E ENVIRONMENTAL LABORATORY a 212 FRANK WEST CIRCLE, SUITE A e STOCKTON, CA 95206 a TEL 209) 983-1340 • FAX (<09 9830304 ' <br /> SERIAL NO p S 1 i 5 WIIIIE Fold Cc`PY YELLOW Prorecl copy PINK taboratmy COPY ` <br />