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�. � air �e a�� �� �� w� �■� � � � � ll� � � <br /> Adr <br /> SPL, Inc. SPL Workorder No T72491 <br /> ® <br /> Analysis Request &_ Chain of Custody Record <br /> UG page ! of <br /> Chent Name f 1Cr*r�Glt y N G matrix bottle size Pres Requested Analysis <br /> ij <br /> Address/Phone 5Z 6 .a. $i-. � ay.�.-�. ;� �•�� `�'Ir <br /> ,� II er) l'r <br /> Client Contact dye r�,_c i O O M� •} <br /> z <br /> cz <br /> Project Name W 4-t i 5 V-O_' ' �k'1 s' .. O M N `D x r� <br /> li II IIII d II o <br /> Project Number 1. (f3C /E. O ¢ ✓ Il � N O U .� <br /> 1 <br /> Project Location Q) -0 � O , <br /> > cv ns N U N <br /> Invoice To Ii II t1. coo x x v <br /> SAMPLE ID DAPI: TIMI; Comp grab II �I II t 1 Z <br /> S� ✓ <br /> � t' A�l S ✓ <br /> 2 S ' :3 <br /> mac ' : � s X <br /> P Yr <br /> Client/Consultant RemarksLaborato remarks <br /> �' Intact? Y ❑N <br /> ITernp <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 ❑ 721ir ❑ 1 linqui ted bySampler date tune2 Recei <br /> 48hr ❑ Standard Relinquished by date time Received y <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 />