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3 <br /> INTERNATIONAL, <br /> TECHNOLO;Y . <br /> CORpORATION <br /> REQUEST FOR ANALYSIS <br /> PROJECT NAME': _ t �?IA Control Na. 1 <br /> 89s90 <br /> PRCX Control No. f__r?`—, <br /> OJECT NUM8ER --- ATE SAMPLES SHIPPED <br /> � �� D — _ <br /> PROFIT CENTER NUMCiER_ 3 � 4 :)' LAB DESTINATION - <br /> ' <br /> PRO,.'ECT MANAGER T r LABORATORY GOCjTACT t <br /> BILL TO SEND LAB REPORT TO �n rn tit nr, <br /> Q ltd, <br /> PURCHASE ORDER NO. DATE REPORT REQUIRED -- <br /> i <br /> �--� PROJECT CONTACT <br /> .. l7r v N�[iE <br /> ---�-- PROJECT CONTACT PHOWi:;a0. -�,i ,; ------- <br /> - Sample No. � Sample Type 7 7 _ <br /> Sample volume <br /> . $5•S-P Z- � �.r r Pre5ervahvo <br /> X 7 Request!J Testing Program <br /> - r - z J�I w:s l'U c' rl r C TPff £ Spacial fnslructions <br /> S� r_T)5i501 <br /> r <br /> F G---F T "k .. <br /> F L r� +Jr� r —j — i <br /> i. <br /> TURNAROUND TIME REQUIRED:. <br /> (Rush must be approved by the Lt{bSrjto;�p " <br /> Normal roject Manager,] !;C LEVEL: (Levels 11 and III subject to surcharge; <br /> Aush �. (Subject to rush surcharge•) Project•s <br /> POSSIBLE H submitted to lab before beginning work.) pecific fequirnments must be s <br /> 4ZARD IDE 1 � 11 i <br /> (Please indicats if sample(s)erre hazardous mato iaf and/or sus IU�_� <br /> Non-hazard ✓ Protect Specltic <br /> Fla""Ia i1e Petted to contain high levels of hazardous substances.} " <br /> SAMPLE DISPOSAL: Skin Irritant <br /> (Please > " <br /> i ease md2•atE d,position of sample fol�owirr aq; --� Highly Toxic <br /> Relum to G+ a JySis.Lab will chergs fur Packing.shipping, P Other <br /> Jenl DIs,:,,s"by Lala PPin archive dis o5ai.) (Please Specify) <br /> FOR LAB USE ONLY P rchive y.. <br /> A_(Indicate rvmber of monlhs,J <br /> s: F+eceived by !JJi ' i w <br /> WHITE- ori9i oacc- om a;n Y samples U;te/Time� Olde <br /> if <br /> I <br /> � ML <br /> BS <br /> s <br /> r <br />