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=A <br /> rSeeSj <br /> 0(rl�� 60M C/M MCF V �UMD�BWATMA�LYffRft@M0�z �� <br /> 'S _ 6925 Ca,.no fg Avenue-Canoga Park,CA 91303-(818)587 5550-Fax(818)587 5555 DATE _PAGE —OF <br /> PROJECT NAME U,�Ial STQCV-VO _y 7,0"F ~5'0 ANALYSIS REQUESTED <br /> PROJECT MANAGER �rt 1pfK V ^�r`S� 9 f co <br /> u�oZ1 <br /> �CNV4�C�I+U�NTgL z a -0c <br /> COMPANY/ADDRESS St'� q <br /> U <br /> Qr m C <br /> JQQ�g�8o , Vi h7 i��Q �7 1780 /�o y Z a <br /> c Nle i G�Z� � '1 �Z�C1 ! PHONE 419 U 1 CO O 4j a�m <br /> SAMPLERS SIGNATURE IL <br /> �CV+0 4 0+� Q cco4 j IV <br /> j — w ma o o m� Co into <br /> m C?�ro_� 'co <br /> SAI DPLE LAB SAMPLEDATE TIME 10 MATRIX z ``moo�p m =co �oC7 mil +J� REMARKS <br /> M6/r, 6W-Ea 3 <br /> - L4Ix I <br /> M � <br /> M�� 9 ' I'x <br /> 0A V L t ( tti <br /> G A s <br /> W - B 3 <br /> RELIN BY F ECEIVED BY TURNAROUND REQUIREMENTS REPORT REQUIREMENTS INVOICE INFORMATION SAMPLE RECEIPT <br /> 20r _48 hr _5 day — I Routine Report <br /> Sr ure L41_ 51 nature II Report(Includes DUP MS <br /> g Standard — MSD,as eludes may S P O# � Shipping VIA �� <br /> ^ Other 5 charged as samples)Name Printe ame r — I P�tY) r9 P ) Bdl To Shipping p <br /> tjT <br /> enn V•qz• Provide Verbal — III Data Validation Report Condition — <br /> FIr `` Firm Preliminary Results (Indudes All Raw Data)19 <br /> Fe _ RWOCB <br /> Date/Time Date/Time Requested Report Date 10/13A Lab No <br /> RELINQUISHED BY RECE E BY SPECIAL INSTRUCTIONS/COMMENTS <br /> Signature 4i Znatg <br /> -r,.,,7-6 it rt1 <br /> Pnnted Name Printed N�e C� � L k A k �k j )o- <br /> R7 <br /> Firm Firm <br /> �>a <br /> Datelme Dalbfrime <br /> DISTRIBUTION WHITE return to originator YELLOW lab 40005 <br />