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M H ♦M J 1..r� ..JJ r...vr <br /> rr in A ri c_ jr->-,4 ralect Name [�_��= -,, •. J')�f l-•.: - �. <br /> Boiling Address ( of different) <br /> Clef: a c� r� State �' Zip Code <br /> Telephone:0/20-ce-7/- "' '� •r 7 FAX# PO # <br /> v <br /> Report To.( A^.4 s ,a Isampler f <br /> ac <br /> Turnaround Time: to Working Days ❑ 3 Working Days ❑ 2 8 Hours Analyses Requestedl Requesteda <br /> ❑ 7 Working Days ❑ 2 Working Days <br /> ❑ 5 Working Days ❑ 24 Hours {� <br /> Cllern Date/Time Matrix #of Cont <br /> Sample I D S mpled Desc Cant TYPesampt" <( Comments <br /> M LO <br /> a <br /> 2. 3 /c� �' cn <br /> 3 <br /> 3 <br /> ✓ 4 <br /> F <br /> 8 / s s� 6Q <br /> 7 q <br /> 8 Cr <br /> 10 <br /> Relinquished By c ate / Time l�_?r Received By Date Time (r - Z <br /> Relinquished By Date I 1t j Time - Received By 1 va��� .� Date r ATime �- <br /> Relinquished B �. �,��--� Dale Time i r'1 Received By Lab � w ` I.� Date 4 113 7 3 Time to o5 <br /> Were Samples Received In Good Condition?O Yes U No Samples on Ice? U Yes U No Method of Shipment_ _ Page L of 2- <br />