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A hed P & CH Laboratories <br /> 19760 Magnolia Ave , China CA 91710 Sample Login: Check List <br />' Tel (909) 590-lata Fax (909)590-1498 <br /> 06-01987 (1995_ 007) (5654180_ 007) <br /> 04/03/06 <br /> Part 1• General Information <br /> t ❑ Company Information Name Sham E&I, Inc (Sacramento) <br /> Address 1,726 N Market Blvd,Sacramento ,CA 95834 <br />' ❑ Project Information Project Description Dan Rodgers <br />' Project # 120221 <br /> ❑ Billing Information P 0 # <br /> Bill Address 1326 N Market Blvd Sacramento,CA 95834 <br />' Lab Project ID <br /> Client Database # 3 <br />' ❑ Receiving Information Who Received Sampler? Jason Nano <br /> Receiving Date/Time 04/03/06 1010 <br /> COC No <br /> ❑ Shipping Information Shipping Company UPS <br /> Packing Information Cooler/Ice Chester <br />' Cooler Temperature 5 4 5 7 °C <br /> ❑ Container Information Container Provider Client <br />' ❑ Sampling Information Sampling Person LH/DW <br /> Sampling Company Client <br />' ❑ Turn-Around-Time Option Rush 5 working dayN <br /> ❑ QC Option NEESA C <br />' ❑ Disposal Option Not specify <br /> 06-01987 Checlt List Login on 04/03/06 File CILGO02C tex page I <br />