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SPL 'o ko der No. 1 e, mj <br /> SPL, Inc. <br /> Analysis Request&Chain of Custody Record <br /> page--L—of-3-- <br /> Client <br /> ageof _Client Name: J TZ As5o hQ-r s:int. matrix bottle size pres. Requested Analysis <br /> Address: Lb h.lo, <br /> 0 <br /> Ci ! State _� 3 <br /> PhonelFax: of o 9-S 7 9—7 7 7 1 / o �n o I i 4; <br /> Client Contact: Email: d o o O i a t <br /> � �0 <br /> �. N� Z•; <br /> Project Name/No.: D $?. bd o o ¢ 1 � 0 11o p_ <br /> Site Name: cr e �C��n ✓�2G f a� III c 1 w �^ O <br /> Site Location: e✓✓t e i S r,4 n <br /> ATC Mdd,54D t� 3 � .�' UN =� v <br /> Invoice To: Ph: J 4 w- II II .000 <br /> SAMPLE ID DATE TIME comp grab �% a Ci71 I coo ! M <br /> N( rti-2 030 y >d 1 ) �✓ /k/ry�a/i� <br /> 3 31) <br /> Mw-'7 <br /> Client/Consultant Remarks: Laboratory remarks: Intact? y N <br /> I Ice? � Y ❑ N <br /> Temp. . <br /> Requested TAT Special Reporting Requirements Results: Fax❑ Email PDF Special Detection Limits(specify): PM review (initial): <br /> ❑ I Business Day ❑ Contract Standard QV Level 3 QC❑ vel 4 QC❑ TX TRRP❑ LA RECAP❑ <br /> ❑ 2 Bus;.Days Standard 1-Re by ler: date time 2.Receiv by: <br /> ❑ 3 Business Days 0 365'10 0 0 )t dr r <br /> 3.Relinquished by: date time 4.Received by: <br /> ❑ Otho <br /> 5.Relinquished by: date t 71b t <br /> Rush TAT requires prior notice ,"y� (e h ' l , 'V/�l / j� ✓ <br /> V <br /> ❑ 8880 Interchange Drive ❑ 500 Ambassador eaffdy Parkway ❑ 459 Hughes Drive <br /> Houston,T%77054 (713) 660-0901 Scott,LA 70583 (337) 237-4775 Traverse City, MI 49686 (231) 947-5777 <br />