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l <br /> Paso <br /> E ra s e o.o <br /> CHAIN-OF-CUS-f6DY .RECORD <br /> TAMPLER $! lU p <br /> Dae ShiPp.d-7 O Carrier I O u' <br /> Phone j ��� `Airbill N. `- Cooler No. <br /> - <br /> SHIP TO: SEND RESULTS TO a' <br /> Enseco-Cal Lab ` cueoe Nem.' 'V �F I <br /> • 2544 Industrial Blvd. a."1' F7'5- - f <br /> West Sacramento, CA 95691 7a: <br /> (916)372-1393, <br /> ATTENTION: Ph .' 83'+ 70 '77 <br /> ,PROJECT NAME j1.o�IcT•on/ - ' _ PROJECT NO, XX-7 P.O.NO. _, 1f>f 734'''. <br /> .,;,Relinquished _ Y,: ig iatureJ _ Received by: (Signature) �>-Date Time <br /> Relinquished b Signalu e) Received by: (Signature) D a t c Time <br /> = Relinquished by: (Signature) , t: 'Race v d '-lab by,(' I n4lure);; :.;- a _•"' to Time <br /> Relinquished from lab by: (Signature) 'Recei ed,by: (Si patd Time <br /> ANALYSIS REQUEST <br /> Sample ID Sample Date/Time a ° .rrr+ 4 „k Sample Condition <br /> Number. - escription 'SampledrAnalyslsRequested, `' Upon Receipt,:, <br /> VO4' 7 <br /> yr h)2 NN '; 2d g. „16 <br /> ': F} .7 Za fG G02 <br /> 6' '',r•y..�¢ 'I•C'. <br /> `Z J! ( /(.�'J •—rte V(�� '. / �a '� f'/6?�3r"5%1"�k'x” , . . a . , a _ V'" <br /> —7 (6 ri l'MyFBi. roS {l1`r ,r <br /> Zxt`1w _!._<:"Voq 7 z a f6"f. 9.*% t � �•-^= " A ,.,;: :. ,_ <br /> /�l•tJ� r--li� �1�H '.=7 2d fr 01CAMPIFC �B <br /> Mwr Vo <br /> C4—lel GII40 <br /> w OAI91� P� <br /> Special Instructions/Comments: <br /> ' N axe cue i`/`�YFi1ie'R ,} y)�f, w `� 1Y*wy, 4 <br /> �/d 'v� it/�l S Y�4r � t kf`(!S j!R ij"�, � yY♦�� <br /> _ NOTE UNUSED PORTIONSY OF"NON AOUEOU5'SAMPLES WILL BE RETURNED TO CLIENT <br /> Expected <br /> Analytical. Immediate - - <br /> T.A.T's: Attention (soo% eunh.rs.) RUSH (50-loo% .umh.je) Standard <br /> Cal Lab ID Number: (for lab use only) <br /> Client Retains White Copy Only.' (Ravi.ed 1/87) <br />