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Weck l boratorces, Inc. <br />EL <br />Sample Condition: <br />T <br />Disposition of samples: <br />A 0 <br />ENVIRONMENTAL SERVICES <br />Pick Up by client: <br />Preserved <br />-Y/ N <br />Return': <br />Evidence seals intact <br />14859.E. Clark Ave. • Industry, CA 91745 Tel: (818) 336-2139 Fax: (818) 336-2634' <br />Dispose by Lab': <br />Container Attacked <br />Page \ Of <br />CLIENT NAME: <br />_\, <br />PROJECT: <br />yfi ) <br />ANALYSIS RE ESTED <br />SPECIAL HANDLING <br />❑ Same Day Rush (60%) <br />AD RESS: <br />// `r-) n F)),� <br />'� <br />' <br />PHONE #: <br />E, �' C <br />�� <br />_ <br />❑ 24 HRS (40%) ' <br />❑ 4 72 HRS (30%) <br />10 Business Days <br />PROJECT MANAGERSAM <br />�r(J <br />P -ER: P.O.# <br />J� <br />�\ <br />I _ <br />D QA/QC Packa e <br />9 <br />1 sic: r ,7J <br />1/ <br />�v <br />Reporting Agency <br />LAB BATE TIME SMPL <br />LD.# SAMPLED SAt�P <br />SAMPLE IDENTIFICATION <br />' - <br />� <br />Method of Shi Ment: - _- <br />/ /' <br />CONT. <br />Z <br />REMARKS <br />t <br />/ c <br />ISH:LY / DATE; T ME <br />dc <br />,� 9'11 <br />UISHED BY DA E / TIME <br />i <br />RELINQUISHED BY DATE /TIME 1 <br />SPECIAL REQUIREMENTS OR INSTRUCTIONS <br />Rr CEIVED B Z �n <br />RECE1VE,D'BY <br />RECEIVED BY <br />' = AQ - Aqueous NA - Nonaqueous SL -Sludge DW - Drinking Water <br />WW -Wastewater GW -Groundwater SO -Soil SW -Solid Waste OT -Other <br />Sample Condition: <br />T <br />Disposition of samples: <br />Precooled <br />( Y h N <br />Pick Up by client: <br />Preserved <br />-Y/ N <br />Return': <br />Evidence seals intact <br />Y / N <br />Dispose by Lab': <br />Container Attacked <br />Y /(N - <br />Preserved at Lab <br />yfi ) <br />' Extra charge added <br />E2 PRINTING 1714) 526-5553 FORM tpi <br />