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CHa 01 U ATCM <br /> SPAOR,L ECHNOLOG Y, INC. <br /> Analytical Lab-OratOry Phone (916)362 8947 C.C.C. NO. . <br /> Page�f o; STAL invoice Num"er <br /> 9 <br /> 3050 Fite C.rc e = 2 Sacramento,CA 95c=7 FAX (916)362-09-7 a e <br /> ANALYSIS REQUEST <br /> �//� � <br /> Company L�,7_ ,4 Phere Gp�ta _ <br /> _ Samplers ,carne <br /> Pro{eci t�€anaae-�+LCL....� -- — - FAX Co�J REMARKS - <br /> Reoort Address �;illmg Name&Address <br /> G� All None Some <br /> (yrs I OK OK 4K WETfS�LC <br /> Project Name " Pro}ectlJon� ' <br /> C <br /> Cooler Temp ° <br /> 441 Pay Sample Condition TCLP <br /> Project t_ocatron <br /> , A H <br /> L 6 P Total <br /> Preservative TGt. <br /> TAT <br /> Sampling --Container Used Matrix i <br /> Cq <br /> _ _ N <br /> co <br /> N <br /> O p co Z _ <br /> s. 11'f 1 r o — <br /> T v I D__ <br /> m <br /> O 4 � N <br /> r O i u3 1L z <br /> 7 Mv p CV 4 CV S. = <br /> CD y 1 l a S r <br /> u7 D N m U t N N ..y V i U I <br /> co <br /> 0 a a 0 ? m m <br /> m <br /> O m E: O - m <br /> 4 L <br /> ' E 3 z `m ° _ m w xu <br /> E o _ U o t a 5 <br /> r32 <br /> SAMPLE ID Date Timem` �' x z O <br /> 3 <br /> raw <br /> 5 La RX <br /> X _X1j 1 I <br /> X <br /> 4 W � <br /> 5 P <br /> i <br /> 6 r i <br /> 7 <br /> 10 R%hn isrte¢'$�, w ' Re by <br /> gur flea�y � Recervea� / � [�„" <br /> G; rr77 � <br /> to 7�/ �� Time / U Date - 4 !� 4 S 1 rT? 1700 <br /> f ADD I]a•. Time <br /> Date 7 ��f G� I Time �J !a <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />