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Ze <br /> SPL, Inc. SPL Workorder No: �W n /� p C <br /> Anal sis Re uest &. Chain of CustodyRecord ��U2//d page Z of <br /> OBJ <br /> Client Name: `L �� matrix bottle size Pres. Requested Analysis <br /> Address/Phone: <br /> CIO <br /> GA;.Client Contact: r1 � � IIN Q 43 Project Na--.. '( Cd " '0 0 <br /> ll Il II ^ ll 31 <br /> O O cc <br /> ProjectProject Number <br /> U <br /> Project Location: a± -b O p �i <br /> y c n a U N <br /> Invoice To: ;j <br /> II it [a.� .—. oo <br /> SAMPLE ID DATE TIME comp grab v, II ISI II m z <br /> 10 <br /> cv� 10' �':r� ✓ <br /> 201 ;yc <br /> 2 ;De � l� <br /> ClienUconsultant Remarks: Laboratory remarks: Intact? ❑Y [_AN <br /> Tern p: <br /> Requested TAT Special Reporting Requirements Fax Results ❑ Raw Data ❑ Special Detection Limits(specify): I'M review(initial): <br /> Standard QC ❑ Level 3 QC ❑ Level 4 QC ❑ <br /> 24hr ❑ 72hr ❑ 1. Winquished by Sampler- � / date Lillie 2. Receive <br /> /3 % <br /> 5-1 <br /> 48hr ❑ Standard 3.Relinquished by: f �� a �'� date time eceived <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, 1.A 70583 (318) 237-4775 <br /> ❑ 459 Hughes Drive,Traverse City, MI 49684 (61.6) 947-5777 ❑ 1511 E. Orangethorpe Avenue, Fullerton, CA 92631 (7 14) 447-6869 <br />