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INTERNATIONAL —Io — or'— ZG 2 �_7 <br /> TECHNOLOGY REQUEST FOR ANALYSIS R/A Control No. _ I Q 2 <br /> CORPORATION (� r C/C Control No. <br /> PROJECT NAME [SZ i i 'L [SZ tI _ DATE SAMPLES SHIPPED cJ Co -a S 7 O <br /> PROJECT NUMBER LAB DESTINATION Skila CLG , <br /> PROJECT MANAGER k 0-- HU ori LABORATORY CONTACT S 2 0,Ljwr- <br /> BILL TO SEND LAB REPORT TO L <br /> PURCHASE ORDER NO. I ►��YC.S 3 <br /> DATE REPORT REQUIRED ^-J O <br /> PROJECT CONTACT N udsa-,J <br /> ( PROJECT CONTACT PHONE NO. YZS -Cr a' U <br /> Sample No. Sample Type Sample Volume Preservative Requested Testing Program Special Instructions <br /> o [ P 6 7e x TPS % <br /> ILL- <br /> 0Z S it t �� <br /> 03 <br /> e TPH .� <br /> 64 ,t <br /> aS <br /> oCn os 0e1A 1-117�1 <br /> TURNAROUND TIME REQUIRED: (Rush must be approved by the Project Manager.) <br /> Normal X Y._ Rush W _ (Subject to rush surcharge) <br /> POSSIBLE HAZARD IDENTIFICATION: (Please indicate if sample(s)are hazardous materials and/or suspected to contain high levels of hazardous substances) <br /> Nonhazard Yl)(. Flammable Skin Irritant Highly Toxic Other <br /> (Please Specify) <br /> SAMPLE DISPOSAL: (Please indicate disposition of sample following analysis.Lab will charge for packing,shipping,and disposal.) <br /> Return to Client Disposal by a <br /> FOR LAB USE ONLY <br /> Received By Date/Time �^ <br /> WHITE-Original,to accompany samples <br /> YELLOW-Field copy <br />