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03/22/01 WED 16:20 FAX 6U5 525 411Z rvt LINVIRUivtru,ivlL <br /> Apr <br /> P k3 <br /> ► <br /> p e c n <br /> QT N 7Q 1 <br /> O <br /> Q <br /> • s m <br /> W <br /> $tlP� <br /> QR .4 y <br /> B <br /> a� Type of sampling:Composice(C) Grab(G) ea <br /> R N <br /> I., ' & Number of Containers <br /> �_ -•� a rYPe of Caatainere:(0)Glass(P)Plaaue(v)VOA(M17 Metal Tube <br /> 2 —0 (p)Potable(NP)Non-Potable <br /> toriagWell ro r � <br /> lSW) Surfaoaweter (Mw), Moal � <br /> )}ave Blea <br /> sr ^ k <br /> R (OW) Ground Water (TB) S <br /> (DW) Drlakio Waco e� <br /> (S)Soil (SLG)Sludge(SLD)solid(0)Oil ( Q Y <br /> BacT: (Sys)System (SRC)Source (W)Waste � <br /> 6lace(RPL) <br /> } BacT: Routine(ROUT)PcP�(RPT) Outer(0Y1i) RcP <br /> C )Leaf Tissue(PET)Petiole'I4ssue(PRD)produce <br /> iv <br /> (LT (� <br /> N f\� <br /> Preservative:(1)NaOH+ZnAc,(2)NaOH,(3)H <br /> g � � � (4 H2SO4,(S g1�T03,(6 rIs2S203.(7)Otherr-� b <br /> O <br /> ANALYSES tq <br /> a � � m H• <br /> n <br /> AAll <br /> P on r�on: <br /> y j Te Leaking (B)Eroke ry 'tact �y <br /> Tem ;Ambient n (HS)v6 Heade d 5 <br /> C`ustod Chilled P m Z <br /> Y Seal(y)(� #of al <br /> Cooler' Actu �_ re q <br /> H check --�� <br /> To Lab DIT: <br />