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CHS IF-C OD' COF a <br /> PROJECT NAME: DATE: PAGE OF <br /> PROJECT NUMBER: LABORATORY NAME: CLIENT INFORMATION: REPORTING REQUIREMENTS <br /> RESULTS TO: LABORATORY ADDRESS: <br /> TURNAROUND TIME: - <br /> SAMPLE SHIPMENT METHOD: LABORATORY CONTACT: <br /> GEOTRACKER REQUIRED YES NO <br /> LABORATORY PHONE NUMBER: <br /> SITE SPECIFIC GLOBAL ID NO. <br /> SAMPLERS (SIGNATURE): ANALYSES <br /> 0 <br /> o u <br /> m`o m <br /> SAMPLE CONTAINER o o ADDITIONAL <br /> DATE TIME NUMBER TYPE AND SIZE m> a v z <br /> COMMENTS <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: DATE TIME TOTAL NUMBER OF CONTAINERS: <br /> SIGNATURE: SIGNATURE: SAMPLING COMMENTS: <br /> PRINTED NAME: PRINTED NAME: <br /> COMPANY: COMPANY: <br /> SIGNATURE: SIGNATURE: <br /> PRINTED NAME: PRINTED NAME: <br /> COMPANY: COMPANY: <br /> SIGNATURE: SIGNATURE: <br /> 1281 East Alluvial Ave., Suite 101 JIM <br /> PRINTED NAME: PRINTED NAME: Fresno, California 93720-2659 amee- <br /> COMPANY: COMPANY: Tel 559.264.2535 Fax 559.264.7431 <br />