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Laboratories, ® rr t NP CO MPP rr: <br /> Inc. �° tst t.r�t.�ct,t qtr ... <br /> Client: tt ( 1" +t` I'i O'eCt e a gage s of <br /> ? '�" 1'rta't ct t�'ame:;"i ,t; .c. r C®lltComments:Attn. <br /> Street Address:,'3. ,x:. d d.,. �; Global ID#: ,Y- <br /> t J <br /> City,State Zip, ' : a . .�% ; .Sampler(s): r` <br /> ,r <br /> l'leottC: 6f, T'' f Y�i Fax v {: �T, (r .. r 5 <br /> :'i 5♦ (- _a .t9aneele Matrix .Are there any test=with hottdtng timet test than <br /> Email Address: a s,�a .:_ n.y r v or equif to dR hours? <br /> Work Order s#. _, ... 1• �Y ❑ Yes ,� No <br /> 3 � m �c <br /> .� E 3 *Standard Turnaround=10 work days <br /> a a ® x <br /> _X- <br /> f I s A 3 other Notes <br /> p r?' 5 M1S.. Ri, w T'� t• <br /> - •'7;yv` ;`. <br /> y <br /> Z. <br /> par ..t., �::�:_ <br /> �f 1 ? g # € f3: —� <br /> 10. F tl i(9 a-A. ,A l i <br /> ue u� Nt ` <br /> d e $ >' M t t <br /> X!` <br /> rj I <br /> Report Drinking Sample Dispt)sal Special Reporting <br /> ❑ Same as above 1�0 to 1 �. ❑ ❑QC ❑ EDF .._❑Raw Data <br /> Raters on State Form: ❑ Return to Client ❑,';P� = by l� rltchive: Ni-nths <br /> Client: s 1 Relinqui bed By Date Time t. Received Bq Date Time <br /> El yes ®No an, <br /> a x 'a r°i, Trw# ,4�t1 r'•� t of � yi` <br /> �+ :.t' Jam." <br /> Address: < 'F ytr jaF <br /> Send Copy to State of 2. RelintplighM By Date Time 2, Received By w Date Time <br /> City','i 4 3 _:h State .Zlp .4rrCAS <br /> Time- <br /> Attn: ;, �'fia 3. Rclimgttislted By Date Time 3. Received By Date Time <br /> �O#: a <br /> E,Yes ❑ I <br /> BC Laboratories,Inc.—4100 Atlas, Bakersfield,CA 93308—661.327.4911—Fax:661.327.1918—vsmr.bclabs.com ` <br />