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• SIERRA ANALYTICAL CHAIN OF CAODY RECORD <br /> TEL: 949.348.9389 Date-C� 1:�be!Mage _of <br /> TAX: 949.348.9115 <br /> 26052 Merit Circle -Suite 105 • Laguna Hdh, CA - 92653 Lab Project ID <br /> Client / lie <br /> ! �u <br /> C/Y NFA � ...�Ar USA <br /> Project mecl, I�.. f A Ana lyses Requested <br /> Client Address <br /> fcl SA 6ao Z G' A/ <br /> Turn Around ❑Immediate ❑24 Hour <br /> lime Requested Y <br /> Q 48 Hour ❑72 Hour <br /> Client Tel No 5 t9 - 7�/ d <br /> Client Fax No pp- ( /Ol [14 Day 0 S Dny <br /> Client Pros Mgr ' l�l^ ___ Normal L]Mobile <br /> /u E <br /> ~i,gig GL Container No of CZL <br /> Client Sample ID 34rPP14;Iqo DateJteme Matrix Preservatives Type Containers 1—. to Comments <br /> g la, <br /> -2, 1 ' <br /> •- 2-PIu- <br /> 115 <br /> i' <br /> 4 S ^ <br /> ni r@�Suif <br /> V <br /> a , <br /> Sml r Slpmtttrn Slu via Tota!Number of Containers sample Disposal <br />' � Submitted to 'Laboratory <br /> -,—oy <br /> Printed Nanw r I Wa S (09nieaftyM11 No) ❑ Return to Client <br /> 0 The delivery or mmples and the sign.aure m dds chem or cm Wily form INavydwl1. <br /> It'lieguisbcd flyDate Received By Dalr audiorszation to perform the analyses spectfrsd above under SIERRA a Vous mul ❑ I.ab Disposal* <br /> Conditions aaless otherwise agmM upon in wmmng between SIERRA and CLIENT <br /> Offniptlity Timm Company • Sampta determined to be hazardous by SIERRA will be relumrd In CLIENT ❑ Awhive mos <br /> 0 Daft__ R,-,ved By Due Total Number of Containers ❑ olkter <br /> Rc.lhrtPit�hed Dy — <br /> Received by Laboratory <br /> Cwrymny Time Company' Time' <br /> N * .+ , ', r r a <br /> + `t 6R,L O�xp�TQIf 5B`0 Y ,^ � h <br /> Date Received By hire ,�� , f. �'y Ot, cNy.5'♦31t1�3�0yReC8l�1tCP1�it(t1Qf1S <br /> aeltngulldledBy ❑ , r+': r -e a ti , a k fp n <br /> Intact _,.`�,'y' I�,�e's�f �i l `7` ChllleilI'femp(aC - <br /> fnu Com Time 3 4 r' rti a 'I <br /> Ctrrtrywny Way �s[]'S lnpfeSeAisw�} ti °^�` ,;'� ❑ pregelf+atIves VitlFerl <br /> SPcI iat ltistnlLun+ Oi <br /> na` BY <br /> ❑: perlywioedi. r a' =A'F; .[; Othbrsti <br /> r't' S'n lS �'Il,,, <br /> .i Appzopnate SarriiI&COntalnRr 1rastBmge I.ocapani ;F'_ <br /> rx, w r r, .. .,.. ,T_� <br /> Rev 011101DISTRIBUTION Where Ta Asaoanpuny SnwpI,%Y,now ladamdiuy Cegry,Pink f idol I'enruua.l Copy <br />