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L:3 24 tars � 'C`lk-� _ �t iH111 Ur LUQ I v u r n tk.,v t-1 u <br /> M 48 Hrs <br /> p 10 Working days Lab Number <br /> [] Arrangement <br /> `����-✓�t��� C����1 n ✓�� • PROJECT MANAGER: <br /> CLIENT: ANALYSES <br /> L'►�, <br /> ADDRESS: 1 {- *\p Z- <br /> rte- r �' ✓1 <br /> `Pr 01 14 C7,0 k. PHONE NUMBER: <br /> PROJECF NAME: — dILA <br /> 0 _ a -27 <br /> G ~ 40 o Lo <br /> SITE CONTACT: <br /> CONTRA T 1 PURCHASE ORDER 1 QUOTE NO.: <br /> Lab Sample SAMPLE TYPE No.of �� SAMPLE f <br /> P Con- CONDITION 1 <br /> Sample No.I Identification Date Number Liq. Air Solid tainers 'L REMARKS <br /> AAW <br /> ti✓ r - o f -�- i <br /> 2 r TL <br /> W � <br /> Sampler:(Signature/DateMme). Received by.(Signature/DateMme) Report Results to: <br /> Name: <br /> ALL t7 Company C-keaf-molt-rr <br /> Relin ish d by.(Sig nature/Dal errim e) Received by:(Signature/Date[Time) Address: <br /> NEUn& , G,4 9gl,-p— <br /> Telephow-ri _ba�FAX '_- _o1 <br /> Relinquished by-(Signature/DatelTime) Received for Laboratory by:(Sign ature/DatelTime) Billable Mileage: Billable Time: <br /> 25 10 <br /> Method of Shipment: T <br /> = Environmental <br /> ElPhone Results Special Instructions: 3130 Skyway Drive,Suite 403 <br /> Fax Results Santa Maria,CA 93455 <br /> Billing Notes: 1. Sam le disposal fee is$2.00 subject to arrangement Phooe 8051346.1766 <br /> 2. Fax tee is $1.00 per sheet FAX 8051346-1767 <br /> 3. Rush work requires minimum 24 hr.notice:applicable fees assessed. <br />