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CO <br /> A6E2186 05/24/2016 - <br /> Q 2 1414 Stanislaus St.,Fresno,CA 93706 Turnaround Time Request H2Our4957 O <br /> BSK <br /> (559)497-2888 ' Fax(559)497-2893 Standard-10 business days V I)IuI'V �pNI Ipp �ryp� pppp $ Y) <br /> W w.ASSO fates WWW.bskassociates.com Rush(Surcharge may apply)- nNI1pIIlAllllNnil�l <br /> c.CD iL, Oceer aborawrics Date needed: — l ww IINNII 1111 Hfl a_ <br /> o J W JJJ f U <br /> GV *Required Fields Temp: <br /> 1� Qr�mp (client Name': Report Attention`: �(i�f 1�/.�a--� Invoice To': Phone'•p Fax: <br /> W /La���L1L_1 U_(41,13r1-A- Sc9GtcT1o�./S �ft� f�c. !/G '1 <br /> y h�...y�' ( LI✓��t�.7, C Gi � j ilr,� ._+t.�'.'-..4�. -;t�'--�'. � ; t t•7 <br /> W Q <br /> Additional cc's: POP �-s <br /> y�� E-mail`: ro!�� 7P D KIZISIT/Y . e O/✓7 <br /> � L_85ty,t City: State': Zip*: <br /> FtLecC Project#:Ui Maw wand yaa like la re=en,e yaur aampkted re.wr<r <br /> ❑E-Mad Fax <br /> []Mail ej <br /> rting Options. Regulatory Carbon Copies Regulatory Compliance C' <br /> Trace(J-Flag) []Swamp ❑EDD Type. ❑ SWRCB(Drinking Water) ❑EDT to California SWRCB(Drinking Water) <br /> Sampler Name(Printed/Signature)': ❑ Merced Co ❑Fresno Co System Number': tt-At <br /> ' � <br /> /O �!G LLf rT'�. ❑ Madera Co ❑Tulare Co 'Z <br /> ✓ ❑ Other ❑Geolracker#: skin <br /> Matrix Types: SW=Surface Water BW=Bottled Water GW=Ground Water WW=Waste Water STW=Storm Water DW=Drinkirg Water SO=Solid <br /> # Sample Description' Sampled" Matrix' Comments/Station Code/WTRAX <br /> Date Time 1� <br /> 2 11-r7E2 c14kr 0735 )c X x X <br /> A)&-= ii-^/k, 47ASA 0 7 q IJC <br /> Al L = S ca 0 d? <br /> Ll 13 At K WAS(-t (0— 2 ' )a <br /> Ikc K W.44 f <br /> 4 R 4t,K PV43)4 z 0801v k <br /> nVow s v o X x, X <br /> L <br /> Rehnq (Signature and Printed Name) Company Dale Time Received by:( n e and Prinled Nam Compan _ <br /> B e r//�t)4— (qZv u Iz)3,+,y SJG 51Zj114 `!;Y% <br /> Rell ..he ,(Sig a d Printed•.me) Comparyy Date Tie Received ty'.(Signature and Printed Name) Company <br /> �/ ! s�Race' or (Si ture and Pri me) DatPayment Received at Delivery: Check ,:ash- <br /> �L y�U Date: Amount. PIA#: (nit. <br /> Ship g Method y O d upy GSO WALK-IN FED EX Courier CLstody Seal: V/ <br /> Cooling Method XP Blue None Chiling Process Begun.by <br /> N � <br /> Payment for services rendered as noted herein are due in full within 30 days from the date inwiced.It not so paid,.crowd balances are deemed delinquent.Delinqued balarras are subject m monthly service charge.and interest swified in BSK's current Standard Terme and conditions far Laboratory services.The person signing for <br /> the Ctie M/Company a.krwwledgea thatlheyareeaher na Cheri or an autMrieod a gem to the Client,Mal lna Client greet to be respanelbk/or payment fd the servicaa on th4 Chain of Custody,arM agrees teBSK'e terms and coMKioiw for laborNory arvirta uNec.coMracluYly Eound otherwise.Ba K'.—mmt......di—didbne <br /> . can W found at www.beta....istss.<oMBSKLabTarmsCardilana.pdf <br /> SR-FL-0012-06 <br />