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m n 0 <br />o mg <br />53.e>rr <br />cIj:',01, <br />r if <br />1. <br />liell <br />III <br />2 't"... <br />z in <br />3 3 ....0 <br />r <br />... <br />I <br />• <br />.3 <br />ki mi,,, ... <br />1 <br />a <br />ilk,I <br />1 lik ..- <br />k <br />limi. <br />4. c.„, <br />C/7 <br />, <br />- <br />,(,......_. Location/Description r-_ ..0 — <br />C — -.7 <br />,..-- — c 17 w Customer Customer Nu .er: P/600 P/ Kom' • )4 Fax: same: person: Iformation (if different from above) Fik <br />......., <br />NI, <br />Nov <br />-, <br />. <br />- ..., 2 <br />Cl) <br />,•::), <br />k-1 : 9-.. 9-- <br />v, <br />u <br />a <br />lb <br />.ft,311b. <br />.-N <br />.411' 0 — 7 <br />'s.Type of Sampling: Composite (C) or Grab (G) <br />Number of Containers <br />-7,2] Type of Containers: (G) Glass (plastic <br />(V) VOA (MT) Metal Tube Samplup Dab lg Charge: <br />otable (NP) Non-Potable <br />, <br />3. <br />(SW) Surface Water (MW) Monitoring Well <br />(GW) Ground Water Travel Blank (AgW) Ag Water <br />(WW) Wastewater rinking Water <br />(S) Soil (SLG) Sludge (SLD) Solid (0) Oil <br />CS' <br />BacT: (Sys) System ource (W) Waste <br />.?.' <br />%BacT: Routine (ROUT) Repeat (RPT) Other (Ca <br />Replace (RPL) <br />1. (LT) Leaf Tissue (PET) Petiole Tissue (PRO) Produce <br />r .."•(4) <br />Preservative: (1) NaOH + ZnAc, (2) NaOH, (3) HCL <br />H2S0,, (5) HN0),(aNa(S,0„ (7) Other <br />ANALYSES REQUESTED <br />..... so. <br />->c C01-00-7f7 1.4S -1{Ja.(9d,'3 <br />/W9--)t/ -i-A/02)41-1640/ orl-(ti >c Melia arge wil 13 Day )), lab: _ ;fer: Dy -"-- :... ri <br />f") — <br />"C ... <br />-.... <br />E. 0 <br />9