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Y- L ENVIRONM • <br /> EN�CAL <br /> ANALYTICAL, CHEMISTS <br /> DATE <br /> CLIENT Gt SAMPLERS 'LJ <br /> ADDRESS X54-0 _ PROJECT NAME: �irl6�Z <br /> CONTACT PERSON. ./� Ld 0� <br /> _ <br /> PHONE. 9/� �'7L <br /> SPECIAL INSTRUCTIONS �eSuG -�c� -V ��Li t, ZZZ0L� rJis-� Pr, purchase Order Number. <br /> 4hVG�4 � �1,�rfir� <br /> Q uC Zr� a Tr X•�-rp�� 4. E D 13 ' Cto j, l� '�o �`� TCJ�?�'[l�u to 1�/�D ���' <br /> Sample Location Date Time Number of Type of Tests reservative Date <br /> Number Description Sampled Sampled Containers Containers Required Added Required <br /> 16 f EAS _ A- AP <br /> ` C)0,1� <br /> Relinquished Date Time Rece ved By- Date Time <br /> Relinqui Y. Date Time Rece -B <br /> Date Time <br /> Relinquished By Jate Time Received By Date Time <br /> Corporate Offices&Laboratory <br /> P0 HOfRce&Laboratory <br /> , 59 itio>>5t 4nrlx�0 2500 Stagf,coach Ro id meld office <br /> S1nta Paul <br /> 05)1l1 z C 8A q 101,) Vis ilia califomia <br /> FAX <br /> (805) 525 4 370 or 525 9A14 St 1, lon(20 CA 95205 TFL (209)734 9473 <br /> hAX 1805]525 4172 ILL (209)942 0181 Mobile FAX 1209)942 0423 (2091 738 6273 <br />