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IMOV <br /> CHAIN OFC DY APPL, Inc. <br /> RECO 4203 W. Swift Avenue, Fresno, CA 93722 <br /> Phone:(209)275-2175 <br /> Fax: 209)275-4422 <br /> Project 9-7 Name/Num r Sampler(Print) Analysis Requested/Method Number Date Shipped: <br /> 7. Carrier. <br /> Purchase Order Number Sampler(Signature) Waybill No.:_ <br /> 11 C4 (1// C' Comments: <br /> Date Time Number of <br /> Sample Identification , Couectod t:oii«ted Matrix oonminers <br /> n <br /> 0n <br /> o N <br /> y <br /> X <br /> y I- <br /> r+ l� <br /> co, O <br /> 0o r <br /> O <br /> Shuttle Temperature: Turnaround Requested: Sample Disposal: <br /> ❑ Standard(2-3 week) ❑ One week 13.2 hour ❑ Return to cilent ❑ Disposal bLab r304day retention! <br /> WR ' u sampler: D Time Received Relinquished by. Date Time Received by: <br /> R ate Time Received y: Relinquished by: Date Time Received at lab by: <br /> Report to: Bili to: <br /> FAX#• z:; 7 <br /> White: Return to client with report Yellow: laboratory Copy Pink Sampler <br /> c.o.c. N° 3 641 <br />