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SK <br /> ANALYTICAL 2003101529 10/23/2003 :dq,B LABORATORIESZ r N Analyses Request <br /> TWHYDRO TAT Standard ?( <br /> Chain of Custody <br /> � <br /> 1414 Stanislaiis Street Fresno, CA 93706-1623 1023007 � <br /> (559) 497-2888, 800 877-8310 (559) FAX 485-6935 11111111111111111111111111111111 o o Requested Analyses <br /> Cncnt Name Report Attentions Phone <br /> LO <br /> Address <br /> A Protect Quote Gr 1'0 � PT <br /> ''�] 8 v, <br /> (/� ./-111 _b� "N b !� I L' — <br /> City State Zip /t i �• w /;^,, Gopl,to, system a' CP mow: <br /> LAH sits@ Oyl�y YJ"V vt ��.1 {`S'aVmpled by ��J <br /> Ln CO <br /> Date Time Comment or <br /> smplr Sam led Sam led Station Code <br /> + �` OL <br /> m. p p Sample Description/Location <br /> �q t C� —� 51 Vey <br /> 51 ( 1� z+ L�' 1 1- -br <br /> L \Z11,1' gyp• \JSIT _ 6 VIIJ <br /> zZ <br /> t0 1 � 32,, BAi- 951 rn%,, <br /> Itil <br /> 2,1 qq5N\� 1 — V4 <br /> Matrix Type-L Utfufd S Solid G Gas Additional Services Additional Services!Charges Authorized By <br /> Type or Hazards Associated with Samples Rush Priority [1 2 Day 1 I 5 Day D'tePayttteiit Received wttt $Delivery <br /> [I QC Data package level 11,iR or IV(circle one) ClkeCk# Initials <br /> [1 Formal Chain of Custody (Signature) IfeeeipiJ ' <br /> e <br /> Signature Print Name Company Date Time <br /> R <br /> Remmed Rt <br /> Received Rellinquished hr <br /> G <br /> v t clarya Payment for se ndered as noted herein are due in Lull within 30 days from when Invoiced If not ao paid account as are deemed dell�gvent Delinquent balances are subject to monthly ervice/re billln charges rest cal <br /> Cul ad et 1 1 J2°6 perm 46 per annum BSK S Associates shall be entitled to recover on delinquent accounts,coats of Coll Including aftomeys'lase Incurred prior to or In litigation whether ooncluded by ludgmen� aettlema promise <br /> or otherwise The pe p for the ClfantlCompany ex esery acknowte es the re eqh hent sized the CI <br />