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L'N V 1 KON M Uy I NL v t C AND ANALYSIS S/S R(s'Qu v DOCUMENT <br /> ORIGINAL <br /> Client: /i.r �� _ as �1 yais: 3 Days 2 Days 2I hrs. <br /> Rwh Anal <br /> •� q Sampler k <br /> Customer Number: :J Z /5& Subject to surcharge <br /> Address: QNQC report required: yes no <br /> Electronic Data Transfer: yea no <br /> Cmnp Sampler Set up Date: Time: r <br /> Mine: �O _ (f yea,Tor,State Client Ober <br /> FAX: <br /> Time S /!B✓/�s Mileage: ? Lab number: v f� <br /> Project pante: _ Lab Loc: Sp 0 STK 0 V1 0 (] <br /> Contact person:,64 A1d/-&dq i <br /> Billing Infonnatitin(if different from above) t- <br /> t Nmne: x <br /> Address: _ v <br /> o <br /> 11ltine ---------- - — ( O C <br /> FAX <br /> Contact person:_ � � 3 t^� <br /> _ �_ c rn eessCCCo + <br /> Purchase orokrktmtrao:t/FCiI,quote number.—_ g � u ... x `o <br /> LO <br /> Prei.og Required: yea _ no a z O c z <br /> j I on � C4 � <br /> Snnynle 1licauoJDescriplhm Date Time 3 <br /> Nunda r <br /> Sampled Sam F- x t y h Ri a3 C1 d tt ray G7 Q <br /> T__Al, L✓ <br /> 1• _ ' v Qom+—fie _ �"� o.d�l / d _ <br /> William <br /> [k.1 <br /> ittyWtt W by b dte wm awl eerAklaaa at ate MVane tbaaaeM <br /> RdincoulrbeJ by: <br /> OMC Tme <br /> Received. • lue '�bL Time )`/u Received by: Isle 7inK <br /> F77 <br /> itaPJalwJ by: Lia •IlaeRdittyulahed by: l ceived by: \ Dde` � Received by: DMe Time <br /> CORPORATE 0PFTC[R LABORATORY <br /> P0.Roo,- '",C dkm <br /> "iCdkm Street 2700 St: -ch Rad Wee11C Ca6kxda <br /> salla Pa YJIIGI.0271 <br /> Tel:fobs, ,10 SucAx $215 7d:(IO1)731.V <br /> Tek(21. Jill <br /> ,. .n,•, MabRe(21KL V. <br /> f+Y OF11711 f•111 <br />