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PRECISION ENVIRO-TECH <br /> CHAIN OF CUS'T'ODY <br /> m <br /> AA'D ANALYSIS REQVEST DOCUMENT M <br /> • i o <br /> w W <br /> a 7� o <br /> o Client: �` /N/ Rush Analysis:5 Days �m7 Days A <br /> �_--_, Sampler(s): BubJect to surchame <br /> Customer Number: Comp Sampler Set Up Date:._._ Time: QA/QC repjrt required: yep n <br /> Address:—.4-54 /�17C�� i Time, Mileage: If yes,To:State—Client ,Other <br /> { <br /> Lab number: <br /> Phone: <br /> FAX: s "� <br /> z i <br /> A <br /> Project name: <br /> w Contact person: 0. <br /> z ay; 7_3 z` <br /> � � � ti� •�* <br /> o 7Date Timpe <br /> Number IAeatlon Description �- S Sample i so <br /> � <br /> $ <br /> C3 <br /> M <br /> o+ <br /> N <br /> r <br /> ro <br /> r <br /> v <br /> v <br /> v <br /> iv <br /> m � + <br /> 7777R."qudlahed �z& L bl.crra� �* Time Li fD NRettivod byDateco Date Tune Received by: Date <br /> Time <br /> m Relinquished by: Date Time Received b}� not <br /> "0. <br /> Time <br /> PRECISION ENVIRA-TECH 7743 N.West.Lane,Suite 132"Stockton CA 95210*Telephone 09) 77-8106*FAX;(209)477.8149 <br />