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CIM W 'Cus <br /> ORIGINAL <br /> AND AMUYStSREQUEST DM <br /> I All, <br /> * p - uAnalysis2 Days 24 his, <br /> ! <br /> Rus <br /> ; 5 Days. <br /> .a4 <br /> Clients q E F'p <br /> {a};. :? arc Subject to surcharge, <br /> Customer Number "f'a,► QA/QC mport'tequiroii:: yes nv, <br /> Address:; USC r% +' Electrtuiia Data.'tliansfer: yes . . <br /> �' r •'�.•� �r/' pin W Set ttp.Date:Z.�7 .� �s -+�'/� teaTPhone: 7� lulikage: Lab:number; <br /> FAX:, t ab't oc' 13: V[ .Q _U <br /> Project name: <br /> !Contact person: <br /> illing Information(if dtil~enjnt from above) <br /> Mame: <br /> . . <br /> i <br /> Address: <br /> C� <br /> Phone, <br /> FAX: � ��_ � � •� � � ��- � �, <br /> Contact person <br /> Purchase orderkwauactlE ;t quote number.• p �w +r <br /> Pre Log Regoircd yea na 3 3 (/5 x ° ;II <br /> r, a� <br /> A � v <br /> Sample Locatiottposcsiption Date Time o E" ` .1 E° U <br /> a <br /> s Number Sam led Sampled -- " <br /> i re <br /> 3 A �/ t� 1 WT <br /> ai a <br /> kofinqutthtd by lax W tha scans and oondiUm on too re"m of ctl4QuaUWg : <br /> Zil <br /> fCl ttcCelvod by tie <br /> RacefdadbY: <br /> L� 1Llt3.f3�_ Rennq Dotetime <br /> 66 1`By. 4ND <br /> Ome Tuna Bad <br /> GOBPOAArE OFFICE&1 ABORATtIBY A6O 6 OMCE <br /> P.O.Box 27VO53'conw40on Stmet 25{)p s*taga t95 Road Tk!U2 Cali,4-94 <br /> Santa Paula,CA 43061.4272 Stoc►idaCA952f5 Tr4(2pg)09)73 -2 <br /> Tef:(845)659-0910 Tel:{2493942-01ai FAX(2 f204)7372394 <br /> FAX:{805)525-41�2 FAX:(209)942-0423 FAX{2D91790 Sa35 <br /> yr <br />