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Report To: Analysis Requested <br /> Name: GKc)v vD ?.�-:F-O Project:BoKIDES C{}yV v -- C <br /> Cn a`� <br /> Address:3`f= W. N-,scr4r�� Project #: <br /> Cz <br /> City: t�qn,v Sampler Name: S' H L v m` w a�ca ai � <br /> LL State: C� Zip:��zI Other: z °�°' c <br /> v, E ro <br /> � m � C <br /> Attn: GREG �,4I4L cn� � Q E ? (no z v <br /> Cr= <br /> Phone:�2oq) 45Z-3'f8/ " Cn <br /> Lab# Sample Description Date &Time Sampled 2 <br /> 00 3G-- t,S38-- 6 k45 /o : 6S 5 X " -Ocl it Tvgg <br /> SC--1-53 Z3 —Nw.5' r I I ., ioZ 5 x Y ;og:C0 <br /> C) T C.—LS 3 f3 — V^'N, 5J 1 / : ',o S x <br /> OL <br /> � <br /> B� —I—S 38 — EvV 3 µo L.1) <br /> co <br /> Q <br /> u_ <br /> T <br /> U <br /> Cn <br /> `3 c) <br /> Q <br /> C) O <br /> C) CO <br /> r <br /> v <br /> U <br /> Z <br /> Q Comment: Billing Info: R nq fished by: ( nat e\ Signature) Za;e: Time: <br /> AfZ O/V Name: G Ovrv� Zc�2� YSrs i.�.C, S t:r2 <br /> Q /-\^�f Relinquished by: (Signature) Received by: (Signature) Date. Time. <br /> Cl L—A'ES Address3y2�Z w, L,v SEC—,21St <br /> O City STCICKTV IV State G4 Relinquished by: (Signature) Received by: (Signature) Date: Time: <br /> Attention: CPR(, 5r4-H-L, <br /> Relinquished by: (Signature) Received by: (Signature) Date: Time: <br /> Time: <br /> Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: <br /> Sample Disposal P.O.# <br /> Relinquished by: (Signature) Received by: (Signature) Date: Time: <br /> 7 BC Disposal @ 5.00 ea. <br /> 73 Return to client <br />