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ANALYTICAL CHEMISTS <br /> DATE: i 1 Z 6 q i <br /> SAMPLERS: Zr�- �•CLIENT: D 2 u MV <br /> PROJECT NAME:_LAM 0, � <br /> ADDRESS: P 6• 6 1 q 2-1 CONTACT PERSON: <br /> PHONE- <br /> Purchase <br /> HONE:Purchase Order Number: <br /> SPECIAL INSTRUCTIONS: <br /> Tests Preservative Date <br /> Sample Location Date Time Number of Type of Required Added Required <br /> Number Description Sampled Sam led Containers Containers <br /> � �iLL a n �r� � 1�1q� •2 <br /> � 06A W 662- <br /> LLL <br /> BVI $615 <br /> m <br /> 4 <br /> a� � 11 Z6 .�'.� Date . Time <br /> _ 1o>77 <br /> Relinquished By: � ._. .. Date:: Time Received By: <br /> Received By: Date Time <br /> Relinquished By: � Date Time <br /> Date Time <br /> :Re1. By:.. Date Time Received By: <br /> Field_. ocac f,. . <br /> - <br /> ofnce R LaboratorY Vlsalla.Cali omta <br /> corporate olnces&Laboratory 2500 Stagecoach Road TEL:1209)734-9473 <br /> P.O.Box 272 /F53 Cnrpornlinn St. Stockton.CA 95205 Mobile:(209)738.5273 <br /> Santa No CA 93061 ILL:(2091942-0181 <br /> TEL:(8051 65q-0910')r 52'"F124 FAX:17,091 942-43423 <br /> FAX: 18051 575-,;1 72 <br />