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:i,Ii1 OF CU ,•fJJf PRECISION ENVIRO-TECH I <br /> CLIENT INFORMATION REPORT INFORMATION <br /> Rush Analysis: 5 days: ❑ 2 Days: ❑ 24 hrs: ❑ <br /> Customer ID: NSPBC <br /> Company Name: Newark Sierra Paperboard Company Subject to Surcharge <br /> Adress: 800 West Church Street QA/QC report Required: Yes: ❑ No: ❑ <br /> City: Stockton It yes. To: State: ❑ Client: ❑ Other: ❑ <br /> State: CA. LAB SAMPLE NUMBER: FE-2o&3-()1 , r t.Z 4 y"01 t rC V 65'611 <br /> Zip Code: 95203 PEZO&G -01 _ <br /> \ Phone: 209-466-7088 . SAMPLING INFORMATION <br /> t Fax: 209-942-1214 I�� M / <br /> / Contact Person: David K.Wong -` H Sampler(s): L,YY"�~✓ Employed by: ` �I� <br /> II11 \ <br /> REMARK: M yj"I I v( 1eF -?A R_53,-, i o Comp Sampler Setup Date: Time: <br /> MW -L (5 L S 2,c l Sampling Charge: Yes: ❑ No: <br /> PROJECT: M YV -3 'I•L70— - Cl 1'1a13,,5 -4,tpL If Yes-Time Travel to Site: Mileage: <br /> µW �2eti 30, 4 11lq,115 ''4•50SAMPLE INFORMATION <br /> -Samplei, Location Description Date Time Type of Sampling Type of Container Sample i Preservative ANALYSES REQUESTED <br /> No. Sample Sample check ! Matrix <br /> P G VOA S <br /> pos <br /> Comae ��,1( <br /> 1 ,4618 q,Ss Grab � X tj NONE eee—Fss UA 29 <br /> i ,1 Composite MYV <br /> \ 1 .2 AA\N 4IA Io: is ED Z 0/ <br /> N0L`/0ISa TPN 'D CPlk6LS <br /> Composite �7 t� EPA <br /> /' <br /> 3 '• `V ?i IIC(I li lo :� rea X n^� uJ l4t� "r ll�O -lJ GI /'t t/07Z� <br /> 4 MVV_ I D I 10:115 "'moos"' <br /> X MW <br /> 'J" 1+yo -�1 14 _h ( �� 1D 4S <br /> Composite '/ <br /> 5 Greb <br /> P -Plastic OW -Drinking Water <br /> CUSTODY S -Sterile este Water <br /> G .GI - oil, Solid, Sludge / <br /> Relinquished by: Date Time Receive Date Time /0 • L7 <br /> Relinquished by: Date Time Received b Date Time <br /> Relinquished by Date Tme Received by Date Time <br /> PRECISION ENVIRO-TECH 2040 E. HARDING WAY. SUITE B STOCKTON, CA. 95205 Pink- Field COPY White- Report Coppy Yellow- Laboratory Copy <br /> PHONE: (209)462-0892 FAX: 12091 4627935 E-MAIL:JONL1597@AOL.COM <br />