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L3lii �a µ <br /> INTERNATIONAL <br /> TECHNOLOGY R/A Control No. 276054 <br /> CORPORATION REQUEST FOR ANALYSIS <br /> C/C Control No. 251'1 /o <br /> PROJECT NAME STC ' I��c Ctrl DATE SAMPLES SHIPPED Ilk ls( ( _ <br /> PROJECT NUMBER I Ci0f%q 7_ LAB DESTINATION 7 O>�f <br /> PROFIT CENTER NUMBER X542_ LABORATORY CONTACT �Ih/sem <br /> PROJECT MANAGER V n�tJQ_V M t`S SEND LAB REPORT TO <br /> BILL TO �� Q i1 <br /> MTZ '� 44 S� NcT z CfJ �ig553 <br /> DATE REPORT REQUIRED Ill, Co 14' l <br /> PURCHASE ORDER NO. PROJECT CONTACT Seel IJCL v <br /> PROJECT CONTACT PHONE NO. L91S J 6Z_- q Ids <br /> Sample No. Sample Type Sample Volume Preservative Requested Testing Program Special Instructions <br /> Ppb\ TPN lT) E <br /> a� z Bi EiC , trFq ten <br /> a <br /> I e cu Eil3 <br /> 1 R <br /> Ct <br /> O <br /> tlici4PW <br /> 1 z <br /> 1t 0gVLt3 SO, z`><� IJq�1 o _ -T—P" 6t 04k-4 ttsx 5 . %'Lk oa GD?, <br /> TURNAROUND TIME REQUIRED: (Rush must be approved by the Laboratory Project Manager.) OC LEVEL: (Levels II and III subject to surcharge;project-specific requirements must be <br /> submitted to lab before beginning work.) <br /> Normal Rush_� (Subject to rush surcharge.) I II III Project Specific <br /> POSSIBLE HAZARD IDENTIFICATION: (Please indicate if sample(s)are hazardous materials and/or suspected to contain high levels of hazardous substances.) <br /> Non-hazard� Flammable Skin Irritant Highly Toxic Other <br /> SAMPLE DISPOSAL: (Please indicate disposition of sample following analysis.Lab will charge for packing,shipping,archive and disposal.) (Please Specify) <br /> Return to Client Disposal by Lab Archive (Indicate number of months.) <br /> FOR LAB USE ONLY <br /> Received by Date/Time <br /> WHITE-Original,to accompany samples tzsA-te-ss <br />