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CO <br /> 0 <br /> m <br /> Delta Environmental Laboratories, LLC <br /> rr 665 Stone Road#11 S 12 <br /> Result to: ( t'� Arnt-l� Clnaln oiCcieto�y ClC4Form genua,Ca,94510 <br /> {707( 747-6061, 640-747-8482 FAX ( 47) 747-6002 <br /> CO Com n <br /> "I Address: �, r Pro ect Name: - <br /> OD <br /> w Anal sis rib u .� <br /> m Tele hane: A NI -,!�°S UFax:AJWIII <br /> LAB ID <br /> m SAMPLER(si raatuie): fast <br /> o Turnaround Time <br /> CO oI <br /> L a ) <br /> ,n S ecialInstrucfions:: ' Comments <br /> # Sample ID Date Time Matrix <br /> ut <br /> 0 <br /> z <br /> CEw <br /> z <br /> J <br /> a- <br /> U1 <br /> D' <br /> LL <br /> CD <br /> V <br /> m . n bate 1) Have all samples received been stored on ice <br /> Rettwished b ? j <br /> —4J 2) Did aeyVOA samples received have.any head space? LJ <br /> m Received B : Dt Date 3 Were samples in apprvpri.ate containers and packaged properly? C� <br /> Retln fished by: Date ) <br /> Date 4 Were.sam les receicved in ood condition? <br /> Realved- <br /> m _ <br /> _ i ." -- <br /> z Fat Lab Use Only` <br />