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1IReceived by: IlRelinquished by: IIReceived by: IIRelinquished by( / IlReceived IIRelinquished by:)" Signature IILab ID# I IISampler Printed: IIProject# / PO# / Global ID: Phone / Email: Az gv P at . Co (II liCity/State/ZIP: - A C4 en, IlAddress: 11 0 ci(íH( 5 61,4-o 6 ICustomer: 1) 6 ec , <br />) <br />, SAMPLE ID - % <br />4,11 <br />tv <br />N <br />0 <br />m <br />it. N.) <br />t <br />0 <br />a' m <br />j <br />X <br />L <br />) <br />r <br />'-\I t <br />IN <br />'A Printed Name vie <br />IR <br />-) DESCRIPTION/LOCATION SAMPLE TYPE <br />composite(c) discrete/grab(d) <br />-...._ g. 1 ,.... D CO <br />SAMPLE MATRIX <br />soil(s) liquid(I) vapor(v) other (o) <br />BTEX/MTBE/TPH-GAS 8021/8015 REQUESTED ANALYSES (1) <br />TPH-DIESEL / MOTOR OIL - 8015B <br />TRPH 418.1M / SM5520C & F <br />eN, Company Name II I Total number of containers II submitted to the laboratory Oxy's / EDB I DCA by 8260 <br />8260 Volatiles- full list <br />X <br />PCBs - 8082 <br />Electronic Deliverables (EDF) <br />NUMBER OF CONTAINERS 1 rn Around Time: 1 Hourej.)-( 3 Hour Day Day (Normal) n pedal: I OBSERVATIONS/REMARKS 11 Notes: SZ:Le G--(-)10 D-0 Method of Shipment: <br />53. <br />5' (c) <br />c)1. <br />CD <br />CD <br />cn . . <br />NJ <br />Ca <br />(/) <br />CD <br />CD <br />a) <br />0 <br />CFI <br />Ca <br />0 1.0E96 VO 'Jalem1V 0917Z ON ale0i4PaO dV13 CASTLE ANALYTICAL LABORATORY Actoisno JO NIVF10 <br />0 -n <br />