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1885 N KELLY ROAD • NAPA,CA 9455$ • "CT07} 258-4000 Fax (707) 226-1001 <br /> LAB ORDER# <br /> C _ , � 6 <br /> a► _ SAMPLE w �, DUE PATE PRQI 1jGR <br /> CHAIN OF CUSTODY PROJECT# PROJEGy�IAME� <br /> CLfENt <br /> � <br /> - I CONT AM ' ANALYSES REQUESTED <br /> bas� � � F <br /> t <br /> , <br /> ADDRESS CITY STATE ZIP <br /> s <br /> BILLING ADDRESS <br /> PHONE# FAX PHONE SAMPLER PRINT IGN NA O <br /> 40 <br /> REMARKS SAMPLE# <br /> OMP <br /> PATE TIME CONTAINER CLIENT or <br /> SAMPLED SAMPLED MATRIX AMOUNT PE PRES ATIVE SAMPLE DESCRIPTIONISITE LAB# GRAB <br /> L � <br /> Y <br /> NIM <br /> MW-14 <br /> r <br /> IWa V� Z MAIN U — <br /> By submittal of sample(s),client agrees to abide by the Terms and Conditions set forth on the reverse of this document <br /> RELINQUIS D BY I D TETTI F. It RECEIVED BY RELINQUISHED BY D5 IM RECEIVED BY <br /> Ze <br /> X <br /> R r!.. <br /> i SHII�PINLI MET]iODISHIPPING# RECEIVED BY DAT EfTIME CONDITION MATRIX AO-Aqueous Nondrinking Water,Digested Metals <br /> TEMP SEALED YIN INTACT' YIN S �"EX Low R L s, Aqueous Nondrmking Water Digested Metals, <br /> { PR DW-Dri*InMer, SL-Soil,Sludge,Solid,AR-Air, <br /> r <br /> FP-Free Product <br /> tU1,�RKS <br /> I W <br /> F. _ CONTAINER TYPES AL-Amber Liter,AOL-250 mL <br /> t Amber,AHL- 500 mL Amber,PT �I(Plastic),HG-Half <br /> At ' AR Gallon(Plastic) SJ-Sod Jar,B4- ACT,BT-Brass <br /> M _ (#` Tube,VOA-40 ml VOA,OTC= .ype Container <br /> a w. 1 <br />