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40041<, <br /> ® 1414 Stanislaus St., Fresno,CA 93706 Turnaround Time Request A9H1897 08/14/2019 <br /> 10 co <br /> atlas8200 <br /> Elmon (559)497 2888 Fax(559)497-2893 Standard 10 business days III)I II IIIIIIIII IIII IIIIII'll IIIIIII <br /> INI ° <br /> V\l <br /> www.bskassociates.Com ❑ Rush(Surcharge may apply) (' r <br /> AS SO C I ATE SklQ� Dale needed: "' Q <br /> 'Required Fields Tem : <br /> Company/Client Name*: Report Attention': Invoice To': Phone': Fax: <br /> All City Trucking (209)355-5645 <br /> Additional cr.'s: PO#. <br /> E-main:bobby@atlasenvironmental.net <br /> Address': City. State': Zip': <br /> Corral Hollow Rd and Linne Rd Tracy CA 95304 <br /> Project: Project#: How would you like to receive your completed resultO* <br /> Diesel Spill/Accident 001-069 Z E-Mail ❑ Fax ❑ Mail <br /> Reporting Options: Regulatory Carbon Copies Regulatory Compliance <br /> ❑Trace(J-Flag) ❑Swamp ❑EDD Type. ❑SWRCB(Drinking Water) ❑ EDT to California SWRCB(Drinking Water) <br /> Sampler Name(Printed/signature)': ❑Merced Co ❑ Fresno Co System Number': _ <br /> ❑Madera Co 1:1 Tulare Co <br /> Bobby Farrington <br /> Other: San Joaquin Co Geotracker #❑ 0 I <br /> t <br /> Matrix Types. SW=Sudace Water BW-Bottled Water GW-Ground Water WW=Waste'Water STW=Storm Water DW=Drinking Water SO=Solid <br /> * <br /> # Sample Description* Sampled Matrix* Comments/Station Code i WTRAX U <br /> Date Time <br /> 1 Floor East 8/9/19 8:04 s <br /> 2 Floor West 8/9/19 8:08 S <br /> Relinquished by(Signature and Printed Nanle) Company Date Time Received by(Signature and Printed Name) Company <br /> Relinquished by:(Signature and Printed Name) Cumpany Dale Time Received by.(Signature and Printed Name) Company <br /> Received for Lab by. (Signature and Printed Name) Date Time Payment Received at Delivery: Check i Cash <br /> / L' <br /> I i. I Date: Amount: PIA#: Init. <br /> UPs GSO klkA -IN FED EX Courier: Custody Seal. YIN <br /> ShippingM�uSod: ONTRAC <br /> Cooling Method: Wel Blue 'None ` Chilling Process Begun: <br /> Payment for services rendered as rated iwraln are duo In full within Jd days from the date Irwoiced.If not so paid,account balances are deemed delinquent.Delirpuent balances are subfect to monthly service charges aM Interest epeciflod In BSK's curr,M Stallard Terms and Conditlom for Laboratory Services.Tia person signing for <br /> the c <br /> lient/Company acknowledges that they are either the Client or an.du-r..d agent to the Client,that the Client agrees to be responsible for payment for the services on this Chain of Custody,all agrees to BSK's terms and conditions for laboratory services unless contractually bound otherwise.BSK's current terms all coreiuons <br /> can be found at www.bskassodates.tom/BSKLabTermsConditlons.pdf <br /> SR-FL-0012-07 <br />