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f M AIR TOXICS LTD. s <br /> q 180 Bt_UE RAVINE ROAD, t= B <br /> 5 FOLSOM, CA 95630-4719 <br /> f � AN ENVIRONMENTAL ANALYTICAL LABORATORY <br /> i (916) 985-1000 FAX (916) 985-1020 <br /> � ���P DY RECORD <br /> Page — of — <br /> Contact-Person _Boris S t.r Protect info 1 Turn Around Time- <br /> PO Inc ; <br /> P 0 # Normal <br /> Address —1000 A ,.Q r t e ga r� City P 1 a C en t i a State _U Zip 928 7 0 Project # 12 3 2 Rush <br /> Phone Phone - � FAX 14-632-6754 Protect Name Specify <br /> M <br /> Collected By Montgomery Ward signature Stockton , CA J <br /> D Field Sample I D Date & Time Analyses Requested Canister Pressure 1 Vacuum - <br /> Initial Final Receipt <br /> PH B EX MTBE TQ C 2 STM1946 30 5; ItL1 '`�f <br /> Stack '9? I.L&t Tp BIFXI <br /> f n yto <br /> # t <br /> i t <br /> r <br /> ReIIngL S By:(Signature) DalalTime Print Name Notes <br /> Please fax "the results to Boris <br /> JR I qurshed 8y signature) Date/Trme ;Vignaturk) <br /> e) Dat rm <br /> -� ( 714 ) 632-6754 <br /> Relinquished 8y (Srgnature) Daterrime ate rme <br /> Shipper Name Air Bill# Op ned By bat im r Te p ("C)_ Condition rCustody Seal act? Work Order# <br /> Lab <br /> Use T��� Yes No one NIA <br /> Only <br /> .� Form 1293 rev 06 <br /> S , <br /> r <br />