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M M M M M M M M M 0 mmm � r � <br /> MfAFORATORIES <br /> LYTICAL -6 BSK Submission#` 9906�0�55 S <br /> `q <br /> 1414 Stantskaus Street Fresno, CA 93706-1623 <br /> (toy) 497-2888, 800 877-8310 (2o9) FAX 485-6935 ---�---- -'-"'' "� <br /> Client Name Re rt Atlentlom Phone f T <br /> d �n r tS!�-3- 3 C) <br /> 3 s TEi u <br /> -*0-0/ <br /> �B FAX 1 <br /> City State 71p Copy w System* <br /> Sampled by ��` Comment or <br /> Date Time 6e- Station Code ? <br /> Sampled Sampled Sample Description/Location k <br /> U-10 'bR , I <br /> ►1��7 —G1V -AW- <br /> xt,rU <br /> Matrix Type:L Llquid 5 Satld G Gas Additional Service <br /> Additional Services Authorized by <br /> Type of Haaards Associated with Samples R-lb Priority 11 2 Day 11 5 Day <br /> I I QC Data package level Il,III or IV(circle one) <br /> E 1 Formal Chain of Custody (signature) <br /> s Print Name Company Date Time <br /> 1 /D " <br /> Notice Payment r eervresa ren as rote eraln are due In fu In 0 da hom w Diced if not so paid account balances are deemed deilnyusnt Qeingrent balances are sublect to month servlcelr g charges and interest call <br /> culated at 1 112 per month 113 er annum BSK&Associates shall be endged t recover alrrlquent accounts costs of collsctions,indutkng attorneys fees incurred prior to or In ilhgatlon whether concluded by lodgment settlement carnpromlae, <br /> or otherwise person signin r the CllentlCompany expreasly acknowledges t they are either the Client or authorized agent of the Client <br />