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FIRM 1,)GC)u C ,3 QUALITY <br /> CONTROL ORDER NO. ' 13 q'; 7 g <br /> v� AnJabNAME 1 .�•y {�� u r REPORT <br /> SAMPLE DATE <br /> ANALYTICAL LABORATORY ADDRESS ❑ PRIORITY <br /> (perform all SAMPLED BY - L_ <br /> 1910 S STREET OC on this <br /> SACRAMENTO, CA 95814 PHONE report) DATE <br /> DATE RECD <br /> (916) 447-2947 ❑ ROUTINEi <br /> FAX (916) 447-8321 ANALYSIS REQUESTED BY: (report regular TIME RECD /U- <br /> ANLAB will perform the services In accordance with the normal standard of workmanship in the "batch"OC J <br /> SAMPLE RECEIVING FORM profession.The tole[Iiablliry of ANLAB,Its officers.agents,employees,or successors,to the client ) RECEIVED BY � <br /> shell not exceed the Involded amount for Bald services.Clients ecceytance of a work order and/or No Report <br /> proposal releasee ANIAB from any liability in excess of the Invoiced amount for the services, Ra glletl // <br /> notwithstanding any provision to the contrary in any client purchase order or contract q DELIVERED BY <br /> SAM. TYPE CONTAINER PRESERVE <br /> ° w <br /> z STATION w� ~ LI w w w <br /> d DESCRIPTION F� 3 O N w M cc 5 o Z M <br /> rq T C7 O �� a cg7 1 w a of Z F <br /> O U <br /> 6 <br /> S" 1 1 1P4 <br /> Lr - <br /> kT <br /> lot <br /> ANALYSIS CODE CONTACTED: <br /> SAMPLING RUSH: W=Water CONTACTED BY: <br /> 8HOUR WW=Waste Water <br /> MILES— GW=Ground Water DATE/TIME: <br /> 24 HOUR_SW=Surface Water <br /> HOURS_ 48 HOUR— <br /> S-Soil Office Use Oni <br /> 1 WEEK_ SL=Sludge Y <br /> 0=011 <br /> REMARKS: All non-aqueous or hazardous samples will be returned to client 30 days after results <br /> are reported unless alternative arrangements have been made.Samples disposed of by <br /> Anlab will be billed to client at cost. <br /> SAMPLE DISPOSAL INSTRUCTIONS: <br /> ❑ R turn to Client Date Completed/Initials: <br /> Routine Lab Disposal <br /> 11 Other <br />