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PRECISION ENVIRO-TECH DHvAAINIOQCUDOODYT <br /> htt: // www Precision Lab. Com <br /> CLIENT DETAILS I REPORT INFORMATION <br /> Rush Analysis: 5 Days _ 2 Days_24hre_ <br /> Client: Sampler(s): �1�«NG�y yG/� <br /> Subject to surcharge <br /> Customer Number: GT�U QA/QC report required: yes no <br /> Comp Sampler Set Up Date:— Time:_ <br /> Address: If yes,To: State _Client _Other _ <br /> Time: Mileage: y <br /> Lab number: <br /> Phone: �} <br /> _ m <br /> Project name: Dot Ox' ftr,�' 6 a . �A Fj U a <br /> CP N <br /> Contact person: g o s q m 1a°iti <br /> O W 'S <br /> A °d 333 m a (� aCJ <br /> Dow a <br /> SAMPLE INFORMATION, <br /> e a wv3 q � o <br /> 7Number <br /> Dete Time s aLocation Description Sample Sample z� a ��e L►ne l 21 ow mr h 3 enc " e3vi " Mf n " X <br /> pfs�'O-;) 0310 m r RP <br /> , CUSTOD <br /> Relinquished by: Date Time Received by. —fDate �' S., <br /> Relinquished by: Date _Time Received by: Date Time <br /> Relinquished by: Date _Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 2040 E. Harding Way Suite B *Stockton CA 95202*Telephone(209)462-0892*FAX: (209)462-7935 <br /> 1 1 1 1 1 I I I I J l I 1 I I 1 I 1 I <br />