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� a <br /> _ TECHNOLOGY„ i313 b 6 5 v rl <br /> CORPORATION REOUEST FOR MAMIS- RIA Control No.! � �7�2 ; F <br /> C/C Control No. <br /> PROJECT NAME t I it e%,N 'r DATE SAMPLES SHIPPED <br /> PROJECT NUMBER � t d)k LP .._ LAB DESTINATION �L C� � <br /> PROJECT MANAGER '`j 11.E` l7 –Co <br /> LABORATORY CONTACT �Z C <br /> BILL TO � t <br /> AC SEND LAB REPORT TO <br /> PL"ACHASE ORDER N0. ► 1 D!„�f Cp <br /> DATE REPORT REQUIRED '`�� !�1-'t�, _ �'���.�,L• '' <br /> PROJECT CONTACT <br /> PROJECT CONTACT PHONE NO. <br /> Samplo No. ISampfa Type Sample Vofumo Preser¢alive <br /> � ( � �.... �f 'r f�-S�� b Requeslad Testing Program <br /> J� �6L TF Spacial i..7lrucfions <br /> T3tr 35;73 oR F3TX d44 �2e. <br /> d - 4—f—— <br /> ' <br /> 4–/ Sat (, r r, r. yrrars C►,d L Toa S�'C C! � 2� t�� <br /> i <br /> 1VoT ti S�r�-(PIS l I-5 72 T[` 4C: <br /> 01--cl'— C)EAT -rtN <br /> n�.t�ry <br /> TURNAROUND TIME REOUIRED: (Rush muwt be approved by the Project Manager.`) <br /> Hamel Rueh V <br /> (Subject to rush surehargel <br /> POSSIBLE HAZARD IDENTWICATIOrt (Please Indlcate It sannple(s)are hazardous materials and/or suspected to con!nln high Ievols of hazardous subslancosl <br /> Nanhaaatrd Flammable Skin Irglant_ ir <br /> Highly Toxic 011ier <br /> SAMPLEp1SPOSl4LIfvi...•sp.cnyl please Indlcala dlspostlbn OI 7ample la9owiny aealrsla Leh wi�7 CauQe ler rracAinp,ihlppinq,and disposal f <br /> Ratum to c3ow Ohpoeal b7 Lob <br /> FOR LAB USE ONLY <br /> Received A <br /> - DtlalTime.__Ca? 4 <br /> W)�ITE-Original.la accompany ssmpin —1 <br /> YELLOW-Fiala ny <br /> 9 <br />