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azo"Olivst pv; fz - Ci��4 4' US "LIJY T !' <br /> Rene <br /> MINE;, <br /> Project Name: (. B �I+F Project No.: <br /> fi <br /> P.O.No.: Sampled By: �- <br /> Su. 91$9+ TMfaY-AvB;Bldg:D=Ca a e til z 2 q wl a e— <br /> Company: fy <br /> ��aMgatV4'NOAttn.:l�w(?K tq 1 V C$ I`4 w1 ao Analysis o <br /> Address: l 4 i -+0 C-74 fo'v 1't. 'Well f S «- 10 0 <br /> RN'4C4 M%r4'efi4, CA 95633 <br /> Phone No.: 010) 354-37-50 "o.: ( 9116) 354 - 3251 N o � <br /> Billing Address: S Expected Due Date: to T m C� <br /> DAY o A, <br /> cU r7 <br /> m <br /> w <br /> 0 ill <br /> Requested Turnaround:_�5 Day(Normal) 48 Hr. 28 Hr. Other v X a `o <br /> !� Q <br /> Sample Date/Time Sample ID N.E.L. Identification ti III <br /> 5 — o W- 3 �► ALx <br /> i 5 93;D pA W­ 6 _0Z <br /> it r 1000 v W- 3 0 S <br /> i 5 010 VWI X4 <br /> 0 <br /> Custody Seal intact? Y N None Temp. B°x"' wW_°Waste w er So-Solid Box"2H-High <br /> A.HCI E.Ice Only Box k3 <br /> RW-RCRA Water Aa-Aqueous 8.HNO F.Other M-Medium <br /> Condition when received good OL-OII A-Air C,H2SC� G.Not Preserved L-Low <br /> SG-Sludge D.NaoF� U-Unknown <br /> Relinquished by Received by <br /> (Print) (Signature) Date/Time <br /> 9 ) (Print) (Signature) Date/Time <br /> ' Fr M&M 0-a ra G tl o <br /> z <br /> 4 <br /> This report is applicable only to the sample received by the laboratory.The liability of the laboratory is limited to the amount paid for this report.This report is for the exclusive use of the client to whom It is addressed and upon the condition that the client assumes all liability for the further <br /> distribution of the repon or its contents. <br />