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M <br /> A6E2186 05/24/2016 — <br /> 1414 Stanislaus St., Fresno,CA 93706 Turnaround Time Request H2Our4957 O <br /> BSK <br /> (559)497-2888 Fax(559)497-2893 Standard-11]business days uu uu q � <br /> Associates Iq�N�I���III�IIINI <br /> www.bskassociates.com Rush(Surcharge may appl/y), 0) <br /> QQ�� Date needed: —G a- <br /> cz <br /> I';n},n11 ccr}�il',aboratcrricsiL <br /> )) Re aired Fields Temp_ ( y U <br /> Company/client Name': Report Attention': i _ <br /> '� �' r.<1/J(s`y�- Invoice To' Phone' Fax: <br /> - <br /> Adomonal cc's PON <br /> E-11-! y(ry e SP <br /> Address': City': State': Zip'; <br /> /S 9 /111/4 7b1-/4 z/f0 C rzv r4 O p[ir <br /> Project Project N. aowwowd yea fila mre=mteVz <br /> your o,mptaee.e.W4r O <br /> d L, ❑E-Mall ❑Fax ❑Med J <br /> Reporting Options. Regulatory Carbon Copies Regulatory Compliance �' �• <br /> EITrace(J-Flag) o swamp 1:1 EDD Type ❑ SWRCB(Drinking Water) ❑EDT to California 5WRC8(D,irikng Water) {. <br /> Sampler Name(PrintedlSignature)': ❑ Merced Co ❑Fresno Co System Number` <br /> OK/.)o// 6 LL .TTL` ❑ Madera Co [--]Tulare Co 1 <br /> / `� ❑ Other. ❑Geotracker N. <br /> Matrix Types: SW=Surface Water BW=Bottled Water GW=Ground Water WVJ=Wasle Water STW=Storm Water DVV=Dnnking Water SO=Solid J J tJ <br /> # Sample Description" Sampled* Matrix* Comments/Station Code;WTRAX <br /> Date Time <br /> 1 ,i/-rEz CAkr 5-23&LX7736- <br /> k X x X <br /> 07 X <br /> 3 L S L3 / 07 Y Jr <br /> At K witi-S R 0 <br /> S 13 lac K LJJ44 1 t e 1,1 X1 z3h ic, 10909k - k x <br /> 4 R -F ' 08 0 to Ik <br /> 13)4,w W ( s v o X X <br /> U <br /> ReYnquish (Signature and Printed Name) Company Date Time <Received by.( and Prinlea Nam Cortgan - <br /> B k r/!� �- /�zv u Iz 13p-,y SdG. �Z�/4 'l•'�j .._ ►�'->,.5 <br /> Rel, -he .,(Sig a� d Printed me Comparyr) Date Ti o Received by.(Signature and Printed Name) Company <br /> r n <br /> Race or (Si tu <br /> rn and Pri ire) Da:, t Payment Received at Delivery \ Check -Cash <br /> Date. Amount P" Ind. <br /> s <br /> Sh,ppVg Methods O If Upy GSO WALK-IN FED Ex Courier. Custody Seal. Y/ <br /> Cooling Method: X-d Blue None Chilling Process Begun Y N � <br /> Payment far servk<a reMerM as rated herdn are tla,in IuN within 30 day,from ttc date—iced.11 rot w paid,account Wlance�ars deemed delimm M.Delinquent balancaa art sublecl m monthly,*rule*charge,and Inleresf sp,,Jfi d In BSK's current Standard Terms and Cooditi—a for Laboratory Sm,i—The person alBniiq for <br /> the Clien ,pany ac k.wiedies flat they are either tha Client nr an auth —d,gem to the CI-9.Mat the Clens agrees m br reapnnalbk lar payment nor the seivicea on this Chain of Custody,ant agrees to B6N's term,std—it—for laboratory,*suis,antes,wMracn..IN hoard otherwise.BsK's cunent farms and=Joon. <br /> can W found at www.bskasapetstaa.cpmIB6KLabiarmaCOMitiona.ptll <br /> SR-FL-0012 06 <br />