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AIR TOXICS LTD. 180 BLUL I UMNL HOAD, t;U I I t.-- U <br /> FOLSOM, CA 9W30-,1119 <br /> AN ENVIRONMENTAL ANALYTICAL LABORATORY (916) 9i1b-1000 FAX: (916) iJob-1020" <br /> Nt? 12401 <br /> JVL" pilou of <br /> Contact Person Viet,(, 0 f­�,We <br /> Project infu: Turn Around-fii-tw: <br /> Company 0A.&!:r_ P.O. # 9`� <br /> Address J!5'-7 5/41 - 5)'c/ity00 —state zip. Project # --:71- Ll Rush <br /> Phone r71yv5v OG L FAX -7/'y `-1-s*t) Project Name <br /> Collected By:Signature <br /> Lab Canister lllretiSLlfv ViACUU111 <br /> I.D. Field Sample I.D. Date & Time Analyses Requested <br /> Initial Finai HCA:uIlA <br /> A-: CH-2 Uecc 10"I'lZ <br /> W. <br /> Rel!Muished By:(Signature) DatefTime Print Name Notes: <br /> Relinquished by:(Signature) Date/Time Received By:(Signature) Dalotriniv <br /> Relinquished By:(Signature) Date/Time Received By:(Signature) Date/Time <br /> D Work Oi*(jer It <br /> Shipper Name Air Bill#: : Opened By; ateffirne Terly (OC) Condition _Custody Seals It <br /> Use � ,� Yes No n�(N/A <br /> Lab 5 ' 1 0_ i <br /> 0 4 <br /> Qnly�, <br />