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:�---,fir—�—...---�-„,-�.r�;r _ �--r �•� •`�... � f�� (�•_ <br /> ENVIR[]-TE�LH iN [�r��CUo <br /> ``�Ak <br /> PRECISION AND ANALYSIS REQUEST DOCUMENT <br /> INFORMATIONCLIENT DETAILS SAMPLING REPO I RT <br /> Client: �r/L /�f/�rf�✓/`�f A) Sampler(s): j�`+"-<�tl L <br /> L— Rush Analysis: 5 Days _ 2 Days_24hrs <br /> Subject to surcharge <br /> Customer Number: /1/7 r (� Z — -2'/ QA/QC report required: yes no <br /> Comp Sampler Set Up Datr_ Time: <br /> /Address: c•f"^ Time: Mileage:) LA� If yes, To: State Client Other <br /> 24,7--c) ) <br /> , I, <br /> ` C-/4- 9d-2-40 2 <br /> Lab number: 4,7 <br /> Phone: �' 37 C, 7 <br /> Q <br /> G7 �? ti ti3 r o W <br /> s g z <br /> Project name: ” F I z <br /> c7 a 3m3t� <br /> , J ` a z,F❑ n <br /> Contact person: <br /> L- ✓ r� m 3 ea •-, <br /> =F z v v d z z Wcu <br /> bo <br /> r� <br /> .? �� a �g3 '� y x U? U a•r z/7 <br /> Date ZI <br /> Location Description <br /> Number Sample Sample z on 3 w x Q� <br /> 11 <br /> Relinquished by/��� � Pte/ Dat� ime l/ z �fieceived ate imeCL <br /> Relinquished by: Date Tinie Received by: Date Time <br /> Relinquished by: Date Tune Received by: Date Time. <br /> PRECISION ENVIRO•TECH 545 F. Cleveland, Suite A_Y Stockton CA 95204 *Telephone (209)462-0892 .r FAX: (209) 462-7935 <br />