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I <br /> Charm of C study Record On-' <br /> Iv TMP <br /> Project Name f7 _ <br /> ., V'C�� O;fu site 'T'Me, Twp`bp , <br /> V BTJIGrEM CO Part(bUo: Condit,ons� <br /> BP Laboratory Contmet Number: � Me;ecrolorua?lwversc. <br /> D$tc• � <br /> Request hie Date(go=Iddfyy) r Wiad Spcad FhttiChC;r, <br /> Send TO! FJGE,1'L FaatEYNo l�(? aas�ltantlCaaLrac or' Nle <br /> >:ab Name JGF1+41�aesl:ty Address„�5 J � <br /> LabLob <br /> Address Site 1X7 No. Mown, <br /> art � uc L.atfl..auK. e-mail EL7D, <br /> lfomia Crlabal ID# COiis>kitma Qntraet ftject No. <br /> Lab PM' 131/0M PM Contact �y Cons 3tawcontractor Tele/Fax. 6” <br /> Tele/FaxPM, Address Cooz�iiantffioatrtuia-PM, A� <br /> Rcprt Type .QC L�tl` la�mled to' Consuitaaticontractor a: .3P1GEM (C=IG one <br /> PIGIENl Account No xclrl�ax /GEM Work R�a.�c No, <br /> Lab Bottle Order lea 1V�a�x Yrescrvncvca Itoctua�tad A�asly,ux p <br /> 0 point ung nud <br /> Iteia <br /> Sample Descriphon Time Laboratory Na 8 o comments <br /> r1 r y <br /> z xI JIM IM a <br /> 3 <br /> s <br /> 7 <br /> s <br /> 9 ' <br /> ftt <br /> Sampler's Name u uy r( R be n ate a AaxlmedlB ! a n� x <br /> SatYlpd3 COmpatry727IwAyt <br /> Shipment Date <br /> Shi eat Method '2tk*—JA9 y <br /> " Slupw=t TrWJ=g No <br /> � pociallnstr¢ctianst <br /> fldy Scats in Place Yc leo Temperature 131anit Yes Na Cooler Tanperature an Rocc�pt °F!G, 'Cap Blanit Yes N _. <br /> U°. �TOavRe�zrS�oz <br /> t <br />