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E 1�1 T H A L P Y Lab No:Chain Custody Record Turn Around Time(rush by advanced notice only) <br /> 't G p 1, Standard: 5 Da : 3 Day: <br /> A I }" T I C A L Page: of z Day: t Day: Custom TAT <br /> Y10,_ Matrix: A=Air S=Solt/Solid W=Water Sample Type: Preservatives: 0=none Sample Receipt Temp and Notes: <br /> DW=Drinking Water P=Product 0=011 C=Composite 1=NazS=03 2=HCI 2 -7 Y <br /> pN/A SD=Sediment T=Tissue WP=Wipe G=Grab or Discrete 3=HNO3 4=H2504 — "r.'. , . r <br /> pN/A WW=Wastewater X=Other <br /> B=Blank O=Other 5=NaOH 6=Other (lab use o=hl <br /> CUSTOMER INFORMATION PROJECT INFORMATION Analysis Request Test instructions Comments <br /> Company: Name: ty/ u VW)— (Mfvrw:snwJ <br /> �St'Qi <br /> Report To: Number: \O •Op <br /> Email: .0.x: <br /> Address: Address: <br /> ,� 11 <br /> Phone: Global ID: <br /> Fax: sampled 8y: <br /> Sampling <br /> Sample ID sampling Time(24 Sample Cont. Cont. <br /> Date hr) Matrix Type Pres. No. Size Inkials <br /> 2 3 q: s <br /> 3 'C'� 1 S '.I 3I�` S G L —IOTi. ' <br /> kc LtY 2 „I Hoz s <br /> 6 <br /> 9 <br /> 10 <br /> Print Name Company/Title Date/Time <br /> Signature <br /> S =l•ov <br /> t Relinquished By: <br /> t Received By: 12^ <br /> 2 Relinquished By: <br /> 12 Received By: <br /> a Relinquished By: <br />