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S W i der r c <br /> SPLA Inc.Analysis Request&Chain of Custody Record page_ 3 of—3—O S <br /> Client Name: TC ASjq-e -Toe. matrix bottle size pres. <br /> Requested Analysis <br /> Address: '-) "26 <br /> o <br /> Ci o jt State { Zi <br /> PhoneJFax: bb 0 0 <br /> � m � <br /> Client Contact: ►'�^S h Email: 0 In 8 <br /> Project Name/No.: � i D � o� � � I I Z N� o <br /> Site Name: r e !,p n)v e-i Ovi <br /> Site Location: L)e y✓i 4 W <br /> Invoice To: Ph: 4 art I I s� o00 x <br /> SAMPLE ID DATE TIME comp grab a. <br /> M tv-2 D3Dy1 I S w /a- ( a X <br /> 1,,4 w—3 4 3a Y 10 ( 1 3 7 w /4 1 7� <br /> M w--7 0 3 a `�l 0 1 5 LA) <br /> Client/Consultant Remarks: Laboratory remarks: Intact? N <br /> 1 I a St 5'" a aCYtr�J �C-��tr Ice? ❑ N <br /> lTemp4dcy <br /> Requested TAT Special Reporting Requirements Results: Fax❑ Email PDF IA Special Detection Limits(specify): PM eview (initial <br /> ❑ I Business Day ❑ Contract Standard Qf Level 3 QC❑ Le 14 QC❑ TR TRRP❑ LA RECAP❑ <br /> ❑ 2 Business Days Standard L R h by S date time 2.Receiv by: <br /> L] 3 Business Days 0 36 Y/10 157 35" rf�'x <br /> 3.Relinquished by: date time 4.Received by: <br /> ❑ Other 7 <br /> 5.Relinquished by: dat t' e y <br /> Rash TAT requires prior notice 7P(7MI/ — <br /> &— V I Z "MWOV611" <br /> ❑ 8880 Interchange Drive ❑ 500 Ambassador a ery Parkway ❑ 459 Hughes Drive <br /> Houston,TX 77054 (713) 660-0901 Scott, LA 70583 (337) 237-4775 Traverse City, MI 49686 (231) 947-5777 <br />