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� LOP T " A i i <br /> BRATORTES BSK Submisision# i i i i i alyseL. ze�qu—e�st <br /> 11�3-/ V-7 ::) Chain of Custody <br /> 1414 Stantslaus Street Fresno, CA 93706-1623 Requested Analyses <br /> (209) 497--2888, 800 877-8310 (209) FAX 485-6935 <br /> Client Name Report Attention Phone I <br /> Address Project Quote or POI FAA I �\ <br /> City State Zip Copy to System I U <br /> !( o>g1y Sampled by <br /> Date Time VL Comment or <br /> r <br /> Station Code <br /> Sampled Sampled Sample Description/Location <br /> Ins 1 Z 9 I�o.6 SZeJQ — <br /> s <br /> r . .r <br /> Ma"Mal"Al <br /> 5 <br /> VX1 14* m' " <br /> �a, r <br /> 3 h c� \ 7 <br /> • r/ rL+ 1 <br /> 3t <br /> i <br /> � V � L4r �J i <br /> &3 <br /> A <br /> 194 X <br /> §t <br /> j Matx'i7C Typ L i#qu SO G Gas Additional Services Additional S ut;�ed <br /> 16 Type of H oc tl:Samples Rush Priority 2 Day [] 5 Day ! Payttt`enti#ecCivedry�tiiDe�ivety' <br /> QC Data pec Level lE or IV(circle oriel �=3 <br /> [] Fo of Custody <br /> Signature Print Name Company Date Time <br /> ed! i <br /> ls Of— { <br /> qu <br /> Received!Relinquished <br /> Notice Payment fo services rendered as noted herein are due in full within 30 days fr m when invoiced If not so paid account balance ars deemed delinquent Delinquent balances are subject to monthly se icelr&billing charges and Interest cal <br /> culated at t t/2%per month 16%per annum BSK&Associates shall be entitled to recover on delinquent accounts costs of collections including attorneys fees incurred prior to or in 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 />