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s r <br /> Anlab CII t Code 1 CHAIN OF COODY RECORD Pae —J-49 <br /> " �i3q '�w. �..�ss����,�'7r,�, <br /> ,sY 4 2 <br /> Company Contact Name K w�StyAnlab Use Only <br /> Address Hours <br /> ANALYTICAL LABORATORY City State zip Mlles <br /> Billing Address Equip <br /> 1910 "S" STREET + SACRAMENTO, CA 95814 Telephone 3-7,?—/L/ 3 y FAX <br /> (916) 447-2946 • FAX (916) 447-8321 �j <br /> P Number 3� �y' `` Protect Name <br /> Sampler s Name V!t_ 1 Sampler's Co W K <br /> Q Sample Type Number of Containers Preservation } <br /> ANALYSIS > w w s s P G V ST A a <br /> IN O L L L O T E C A <br /> I U A A A E M 1 5 <br /> L G S S R P D E <br /> n _ w " G <br /> s gAMP4 IpFF1{(IFIRATIO�P h� r?icy _ PAt4 7IfRs � Z` E j S L <br /> aF �KSn'tW-LV. �aPl L ' ' rS��a'f,�. •^+.r..�i i},C r t,'s.i « e I.i,,,, 1�. C E <br /> � :a � •�R alc!•� "-11x.+1 <ax..a U "+ <br /> rr1 w— I 1 <br /> IX <br /> -------------- <br /> COMMENTS/SPCCIAL INSTRUCTIONS <br /> SAMPLE DISPOSAL ❑HOLD <br /> Ll <br /> 1 ,g s <br /> W C/� /�V 'Y +Y * QUR � ip�' dS3+ -4`ti -1 RETURN DISPOSE <br /> SHIPPED VIA <br /> L �,pT{[b� <br /> 1 PAY©��� �3Tr" `3 ❑ UPS ❑ FED EX ❑BUS <br /> SAMPLE RELINQUISHED 8Y PRINT NAME/COMPANY DATEITIME RECEIVED BY PRINT NAME/COMPANY <br /> W ie S J �C�> - /�.l / �I 1 I�1�� Pi > > <br /> ANLAB WILL PERFORM THE SERVICES IN ACCORDANCE WITH THE NORMAL STANDARD OF WORKMANSHIP IN THE PROFESSION THE TOTAL LIABILITY OF ANLAB ITS OFFICERS AGENTS EMPLOYEES OR SUCCESSOR$ TO THE CLIENT SHALL NOT EXCEED THE INVOICED AMOUNT FOR SAID <br /> SERVICES CLIENTS ACCEPTANCE OF A WORK ORDER ANDIOR PROPOSAL RELEASES ANLAB FROM ANY LIABILITY IN EXCESS OF THE INVOICED AMOUNT FOR THE SERVICES NOTWITHSTANDING ANY PROVISION TO THE CONTRARY IN ANY CLIENT PURCHASE ORDER OR CONTRACT <br /> All hazardous waste samples will be returned to chenf or billed for disposal <br />