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rWINING <br />LABORATORIES, INC. <br />I <br />C <br />2527 FRESNO STREET <br />CUSTODY/ANALYSIS coc # <br />!--� 1 S"^ <br />- FRESNO, CA 93721 - (559) 268-7021 FAX: (559) 268-0740 <br />MITTER INFORMATION: <br />RePO TO ,04 SEND INVOICE TO: <br />RESULTS RELEASED T0: <br />ADDRESS: ADDRESS: <br />- 1a7 <br />ADDRESS: <br />ATTENTION: ATTENTION: <br />ATTENTION: <br />PH PQj) s� UPS PH <br />PH <br />FAX )CfLa.► FAX ) <br />FAX ) <br />CONTRACT # OR P.O. <br />BACTERIOLOGICAL SAMPLE SOURCE SAMPLE STATUS <br />REPORTS FOR: <br />COUNTr❑ FRESNO ❑ IONGS'=❑ MADERA ❑ MERCED ❑ TULARE <br />❑ STATE DEPT. OF HEALTH SERVICES Ll OTHER: <br />PROJECT - <br />SITE: <br />❑ PUBUCIS r,,;. <br />N .w".. <br />❑ PRIVATE WELL <br />❑ REPEAT <br />L1 SURFACE WATER <br />Ll OTHER <br />❑ CONSTRUCTION ❑ OTHER <br />SAMPLE INFORMATION. <br />PROJECT #: <br />SAMPLE BY (PRINT NAME): <br />PROJECT MANAGER: <br />SIGNATURE: <br />UTINE ANALYSIS <br />❑ RUSH ANALYSIS, RESULTS NEEDED BY: <br />FOR CHEMICAL ANALYSIS SAMPLE TYPE SL - Soil/Solid <br />Biosolids GW - Ground Water ST - Storm Water <br />DW - Drinking Water SF - Surface Water WW - Waste Water <br />L <br />A <br />B <br />U SAMPLE <br />S <br />E SAMPLE ID DATE I TIME TYPE <br />ANALYSIS REQUESTED <br />LA <br />(LAB USE - BOTTLES) <br />A�iV rA 1' <br />COMMENTS: <br />r"NNQUISHED BY COMPANY <br />1 / <br />TIME RECEIVED BY COMPANY <br />leg&Ir <br />..- <br />�� <br />