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SMITH EMF RY COMPANY CHAIN C CUS AND <br /> The Full Senr(e brdependenr Ternnr Luborutvr) Esrubluhed 1904 ANALYSIS RE ST <br /> 781 East Washington Boulevard • Loc Angeles Cahforme 90021 • (213)749 3411 • Fax (213)745 6372 DATE PAGE OF <br /> P O Box 880550 Hunter s Point Shipyard Bldg 114 • San Francisco California 94188 • (415)330 3000 • Fax (4 15)822 5864 I <br /> 5427 East La Palma Avenue • Anaheim California 92807 • (714)693 1026 • Fax (714)693 1034 FILE NO 2 22 3 LAB NO <br /> CLIENT NAME n — 6�. ANALYSES REQUESTED REMARKS <br /> DJECT NAME f PROJECT NO PO NO <br /> 'DDRESS <br /> PROJECT MANAGERkL4QJ-ear PHONE#(3 ID) FAX# <br /> LU <br /> U3 <br /> LU <br /> SAMPLER NAME Oe! t" LOVI(A f a a <br /> iPnnted) (Signature) <br /> W <br /> TAT(Analytical Turn Around Time) 0=Same Day, 1 =24 Hour, 2=48 Hour, (Etc) ¢ m <br /> N <br /> c, <br /> CONTAINER TYPES B=Brass,G=Glass,P=Plastic,V=Voa Vial,0=Other co <br /> AMPLE DATE TIME MATRIX CONTAINER opo co v SAMPLE CONDITION/ <br /> NO SAMPLED SAMPLED SAMPLE DESCRIPTION WATER son uooE OTHER TAT w TYPE COMMENTS <br /> tM 2z <br /> -j 3 Y <br /> 1 <br /> �,nqu�shed 13 (Signature nd Pn ted Name) sae w ria e a Panted e] Dal ; TM SAMPLE DISPOSITION <br /> f?o >I r ` '/ "/5 �t i Samples returned to chent� YES NO <br /> tgwstted(3Signature and Printed Name) R K,j By Is,"a re and Printed Name) Date Time <br /> 2 Samples will not be stored over 30 days unless <br /> mgwshed By ISgnature and Panted Name) Received By(Signature and Paadditional storage time is requestednted Name] Dale Time � <br /> 3 Storage time requested <br /> days <br /> 4PECIAL INSTRUCTIONS z <br /> By Date <br /> DISTRIBUTION WHITE,YELLOW, PINK TO SEGO—GOLD TO CLIENT <br />