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E N T H A L P l� Lab NoChain of Custody Record Turn Around Time (rush by advanced notice only) <br /> : S Z - %/C. Standard: 5 Day HDay <br /> 0 1; A t �' , Page: of 2Day: <br /> a_— <br /> Matrix: A=Air S=Soil/Solid W=Water Sample Type: Preservatives: 0=none Sample Receipt Temp and Notes: <br /> DW-Drinking Water P=Product O=Oil C=Composite 1=NazSiO3 2- <br /> CAN <br /> =HCI ) y fN .� <br /> pN/A SD=Sediment T=Tissue WP=Wipe G=Grab or Discrete 3=HNO, 4=H,SOe 1 ^ Cr <br /> HN/A WW=Wastewater %=Other <br /> B=Blank O=Other 5-NaOH 6=Other 1,ib u:e only) <br /> CUSTOMER INFORMATION PROJECT INFORMATION Analysis Request Test Instructions Comments <br /> i <br /> Company: — - k... � u -e <br /> �G� kS Name: rJk La'-,k kill, '(\jr'\_ C,triJ"'rw <br /> ZU <br /> Report TO: M 0.� eS Number: to H(c 00 <br /> (mail: o— Ct O' * V <br /> Address: 5an T i10 Address: <br /> v <br /> s� t ' As( s <br /> Phone: s-bo '0i65 --so;lz Global ID: <br /> Fax: Sampled By: <br /> Sampling <br /> Sample ID Sampling rime i24 Sample Co�CntDate hr) Matrix Type PNofir <br /> 1 0 ILf'- / G C <br /> �t G C- L 7 ' <br /> 3 <br /> 4 <br /> 5 <br /> 5 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Signature Print Name Company/Title Date/Time <br /> Relinquished By: /✓�Ga_'b". orsASSOC, ,0 <br /> t Received By: <br /> i Relinquished By: <br /> 4s. 7 Received By: <br /> 3 Relinquished By: <br /> CO <br />