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A H O , IN . G - CHAIN 0 A ODY REC ' <br /> Analytical Laboratory Phone (916)362 6947 C.O.C. No. 1 9 9 <br /> 3050 Fite Circle,#112 Sacramento CA 95827 FAX 916)362 0947 Page Of STAL Invoice Number <br /> Company iT 4 i 1 o i u i C�1 Phone It } ` ANALYSIS REQUEST <br /> l <br /> Protect Manager J S e r�a `"�q e FAX (' '(' - Ut� } REMARKS <br /> Sampler's Name <br /> Report Address Billing Name&Address <br /> t�1� ileY , LA 91165 <br /> All None Some <br /> ' Protect Name ProtectrJob# a OK OK OK WET STLC <br /> r '" b ' t C u Cooler Temp °C <br /> Protect Location Po# Sample Condition TCLP <br /> I,}ui,o ( ,h (uk pH <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> z <br /> O N <br /> t 00 r- <br /> _ U1 O <br /> C In C <br /> P co <br /> O N <br /> N V 43 O Q. 00 <br /> r O z <br /> c l O a O a U N (.1 '1 v <br /> ' Lcc <br /> A? O co E IO t? Q. N N ' U U U <br /> - w Iq <br /> N H O p O O O O a3 ti N r �� y <br /> Q cc a O O O O N N �' d 47 c 2 N <br /> co 00 co <br /> O> n d O a m a ao 0-0 � `� -' a <br /> E N E m` 2 m x u w cOo a r to <br /> NO SAMPLE ID Date Time o �' N L o �' o t iw- a a a a a a� o 0 <br /> 2 z o r1) ¢ o m m w w w w w w z o m U U riy m x <br /> 11 w 130 <br /> 2 N1W -1 31119a �� �, 3 X Al <br /> 3 W -� KN <br /> 4 <br /> 6 <br /> f <br /> 6 <br /> 8 <br /> 9 <br /> 10 <br /> Relinguished by Rec ived by Rehnpished by Received by <br /> Date �r !i -�l ) Time 1 I i 7 i A��, y ' .y <br /> Date �' —1 Time Date -5µ I -�/ Time /f Date Time <br /> i PLEASE HEAD REVERSE SIDE FOR TERMS AND CONDITIONS <br />