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CA � AMERICAN SCIENTIFIC LABORATORIES, LLC Page 1 Of <br /> C`,•.• ; Environmental Testing Services <br /> 2520N. ,5'iir Fer•ucirttlo R,,zr,l, f..1, C.4 90065 Tel: (323)223-9700 • l ,i (323) 223-9500 <br /> COC# N2 84864 GLOBAL ID E REPORT. L-ePDF ❑ EDF ❑ EDD ASL JOB# ! 403219 <br /> Re orf To: C+ <br /> Company:J r S Q ANALYSIS REQUESTED <br /> Address: Project Name: Address:2L40 4 oam,,s H <br /> � ,� D,t ro, r Utah SAVk-Aa7 Ce 95.2E A <br /> .S�CtIG�r! CJ� g,��DS Site Address: Invoice To: <br /> � ,2LLC3 �oorr,s �ae� �5�rn �� •© � � <br /> Telephone: —'315 -/34� �1- _��,y Address: �j <br /> Fax: '5JW**Ar), � Q�� r2LG0 doom,, /� N <br /> Special Instruction: Project ID: 5 f , *w 044 <br /> E m il: , Project _tn ) `I P.O.#: C <br /> per. ,�� co Manager.,dam ] r}i <br /> I LAB USE ONLY SAMPLE DESCRIPTION Container(s) F <br /> T Matrix Preservation Remarks <br /> E Lab ID Sample ID Date Time # Type <br /> M y )q � b,5 ? s }W�, <br /> 119092A)- C21 R 0k,ICA. <br /> L <br /> S <br /> C <br /> C <br /> F <br /> E <br /> C <br /> CollecteABy Date 8/a3 Time f I,,U) Relinquished By. Date Time TAT C <br /> RelinquDat Time Received Date Trine ❑Normal23-101 t; For Laboratory L F <br /> ) ❑Rush <br /> Receiv '` Date�;3_ Time/ Condition of Sample: v`a [ <br /> White-Report, Yellow -Laboratory, ink •Chenr <br />