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THE <br /> TWINING CHS' OF CUSTODY/ANALYSIS RL JEST F15-0-c# - <br /> LAB <br /> cocaLAB OR A TOR I ES , I N c . 2527 FRESNO STREET • FRESNO, CA 93721 (559) 268-7021 FAX: (559) 268-0740 <br /> SUBMITTER INFORMATION: <br /> REPORT TO: Cji7goMe SEND INVOICE TO: RESULTS RELEASED TO: <br /> ADDRESS: ADDRESS: ADDRESS: <br /> ATTENTION: ATTENTION: ATTENTION: <br /> 'HC q c.C1 <br /> PHC PH � <br /> :AX C � FAX l � FAX <br /> CONTRACT N OR P.O. <br /> BACTERIOLOGICAL SAMPLE SOURCE SAMPLE STATUS REPORTS FOR: <br /> ❑ PUBLIC SYSTEM ❑ ROUTINE COUNTY: ❑ FRESNO ❑ KINGS ❑ MADERA ❑ MERCED ❑ TULARE <br /> ❑ PRIVATE WELL ❑ REPEAT <br /> ❑ SURFACE WATER ❑ OTHER ❑ STATE DEPT.OF HEALTH SERVICES ❑ OTHER: <br /> ❑ CONSTRUCTION ❑ OTHER PROJECT: <br /> SAMPLE INFORMATION: SITE: <br /> >AMPLE BY(PRINT NAME): <br /> PROJECT#: <br /> ;IGNATURE: <br /> PROJECT MANAGER: <br /> ROUTINE ANALYSIS <br /> RUSH ANALYSIS,RESULTS NEEDED BY: <br /> ;EY FOR CHEMICAL ANALYSIS SAMPLE TYPE SL-Soil/Solid ANALYSIS REQUESTED <br /> IS-Biosolids GW-Ground Water ST-Storm Water <br /> IW-Drinking Water SF-Surface Water WW-Waste Water <br /> rw <br /> SAMPLE V <br /> SAMPLE ID DATE TIME I TYPE (LAB USE-B07TLES) <br /> E ►Z N-0Z0 q.3 <br /> l2-N-vL Dz30 I MP )YAJ63 <br /> tz-it,-oL 9 v 310 ryk <br /> )LA& <br /> " i -IZ- Lj 1 P 11 a 3 <br /> DMMENTS: <br /> -047/ <br /> NQUISHE Y COMPANY DATE TIME RECEIVED BY �- COMPANY <br /> zogre3 <br /> 6 <br />