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® - rt i As1 Co�trts,re: <br /> Laboratories,Inc. r llct.ot w'In7 <br /> Uepmf To:Client: �' S� �acs tf?S .� Project#: • • - • sa 4_ � <br /> Pae of <br /> Attn: ! ° Pro°ect Name: 60' L c,,� Comments: <br /> v �7a' ' vt/,-f••P�- <br /> Street Address: ,1A 1, �t c Project Code: <br /> Cit State 7.i sF, Sam ler(S : dai , -dt e <br /> Phone:' _z 5.. Fax: -q 31-j I 1sepT t A <br /> 1 Sample Matrix Are there any tests with holding times less than <br /> ]Email Address: Yl gl�t'A C'' e,5t as 4t:ita or equal 1:0 4s hours? <br /> 13E2 p_w EJYes No <br /> Submittal#: �-- U �� �� � "o <br /> Standard Turnaround woo 5rk days <br /> • s r t n r A 0.3 Other Notes <br /> S * A 31131 <br /> tSze?S <br /> Well - 2 Z 123 - <br /> 5@ ! 41 r_ 0-1 X <br /> li ar 9�� cd i�59 <br /> �..' <br /> 'Ti- B IC A j< 3 It:4109 <br /> iL <br /> LILL <br /> � s y <br /> s u Prl <br /> - i <br /> al Rep <br /> Report Sample Disposal Speciorting <br /> E] t Drinking Same as above El QC El ❑ Raw Data <br /> t Waters on State Torm? ❑ Return to Client Disposal by lab ❑ Archive: Months_________ <br /> Clien$• r oA® , t I I I. Relinquis B Date Time t. Received By Date Time <br /> ❑Yes ( No 301A I40 <br /> A,� �q Send Copy to State of 2. Relinquished By Date Time 2. Rec ivcd By Date Time <br /> City: h tGi,j+ec state <br /> qq A zip 1 r Sen iN1Yl--- i3k���A <br /> Attu: �PcSFInGt rAt- "w 1 e t iJ .YCS ❑No 3. Relinquished By Date Time 3. Received By Date Time <br /> P®#: 77 " <br /> BC Laboratories,Inc.-4100 Atlas Ct.-Bakersfield, CA 93308-661.327.4911- Bax:661.327.1918-www.bclabs.com <br />