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M i - i i i i i ii _ i <br /> � ALYTICA rL �e <br /> � �DOiATORlE�7 BSK submission� Analyses equest <br /> Chain of Custody <br /> 1414 Stanislaus Street Fresno, CA 93706-1623 ? Requested Analyses <br /> (2o9) 497-2888, 800 877-8310 (20) FAX 485-6935 <br /> Client Name Report Atte fon Phone <br /> Address Project,Quote or PO a FAX i <br /> City,State,Zip Copy tor System f <br /> I<9 mse Only Sampled by r] <br /> Date Tune /" Comment or <br /> so7k Type cmc Sampled Sampled Sample Description/Location Station Code <br /> 1 g <br /> Ir <br /> r - Z1 <br /> S <br /> 0 4 ,�'.AQl <br /> Inaf-Is — - 49J <br /> , y <br /> 90 q U <br /> 40,10 <br /> rC110 <br /> lkla -R-2- <br /> Matrix Type L Uqui�t t Gas Additional Services dhtional i Auth e y _ Payment Received with Delivery <br /> Type of Fta>ards Associa Samples Rush Priority 2 DaY I 1 5 Day f Dat, Amount.$.. , <br /> QC Data package II or IV(circle one) AACr L Check#,--- Init{als <br /> [] <br /> Fornarehall5of Custody <br /> (S ,Receipt it,_.---�—, E <br /> Signature Print Mame Company Date Time <br /> R quisbed by � <br /> grvcd <br /> i <br /> RemitCols <br /> Received!Relinquished <br /> CWW <br /> ce Payment for sVices rendered as noted herein are due in full within30days from when invoiced If not so paid account balances are deemed delinquent Delinqquent balances are subject to monthly ervicefre billing charges and interest cal <br /> culated at T 1/2%per month 18%per annum BSK&Associates shall be enhiled to recover an delinquent accounts costs of collections including attorneys fees lncurred prior to or to litigation whether concluded by judgment settlement compromise <br /> or otherwise The person signing for the Client/Company expressly acknowledges that they are either the Client or authorized agent of the Client <br />