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lSPL, Inc. SPLWork-7 No: G- 02563 <br /> ® Analysis Request &- Chain of Custody Record l page of <br /> Client Name: - .S matrix bottle size pros. Requested Analysis <br /> Ln <br /> Address/Plione: j SVS - c <br /> iso <br /> Client Contact: o of II M ,r <br /> Project Name: t' ` --1 �IV�/1 o "_ `o <br /> II 11 Il II o -- II II � <br /> Project Number: 'JO (�Ci O Q 14 c.i O U <br /> Project Location: A9S1 tx)` 1S( vCLI VCt <br /> o <br /> V C14 Q1 (\ <br /> Invoice To: �U i�(J1t 1 �W CO <br /> S"PLE ID DATE TIME comp grab 1 11 C7 11 � <br /> 1)1-OLZ..311 <br /> ?-os L5 97 i Zso n X <br /> L3- onsq <br /> I hamL <br /> Client/Consultant Remarks: Laboratory remarks: Intact? Y ❑N <br /> I Tem�: � • J <br /> Special Reporting Requirements Fax Results ❑ Raw Data ❑ Special Detection Limits(specify): 1'M review(iytitial): <br /> Requested TAT <br /> Standard QC Level 3 QC Level 4 QC ❑ <br /> 24hr ❑ 72hr ❑ 1.Re ' q 'shed by rn er. date time 2. Recei <br /> 48hr _ ❑ Standard AK 3. Re lin islied date tErne . Recei rd by: <br /> I <br /> Other ❑ 5. Relinquished by: date time 6.Received by Laboratory: <br /> ❑ 8880 Interchange Drive, Houston, TX 77054 (713) 660-0901 ❑ 500 Ambassador Caffery Parkway, Scott, lA 70583 (318) 237-4775 <br /> ❑ 459 Hughes Drive,Traverse City, MI 49684 (616) 947-5777 ❑ 1511 E. Orangethorpe Avenue, Fullerton, CA 92631 (714) 447-6868 <br />