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a s E 1T C CHAIN"OF-0, U.&TODY RI RD <br /> (See ftwise for Instmettans) NQ------------- <br /> PROJECT NAME ; F'+�r-�c�.[ra - .a*�1�.� .,.. <br /> -- --�C---,.-_- �. _- SAMPLERS _ STAPLE�OA1TAfN SAiAPfE d1SSCRIfsTiON CODES TAT CODES <br /> �. <br /> tat 0 rCRIPTION CODE_ A cruund IWAir F. Or <br /> PROJECT Pl1J3t+IBER • - aa.nr YUA Vlal B. SUAUCE 51f O G. weate i j <br /> &-Waa:1;kiwi E. Brras Tube C. Blw+cpks 2. Irwr - <br /> 1iECORt3F1a_.-. -- <br /> - G. tisk 560 m1 F.011ier,.`_ 0. Mrx iiia LGN:U�_ '4 Ncur ,f+ <br /> D- plasIrcIdw .� �. E. SAW-Cledmird - _ -_ -tflher_ - — ( . <br /> c"I NDER OF ANALYSIS L3EQUESTED LARORATO"Y USE ONLY <br /> COMTAINEHSAL3-- <br /> :} <br /> g AND 1p s <br /> a FrESEMsuloa � g3 ' _ r <br /> ao NOTES a IQ: �aUlOn <br /> no E PON <br /> DATE TIME _ SAMPLE If7 �. <br /> I <br /> _ S[ muuut=Rs ac-c6p1 NOS <br /> 0, <br /> Li <br /> Lr u2 <br /> Ira< Ott-564 <br /> .15 <br /> AOCEI-LMJEOUS f" guishod tjV: (`ulynatum) Received By. (SEg ria) Date Tide <br /> "Ly re,113 f d <br /> R lnyil'- i9y. iF11itfle)� fleas€v 8 S�nature)T filsle- Time <br /> Rslinquis y.(.5$ 4- Received By: 8 --- pat® riffle <br /> Nlathnd of ShiPMAI t i walpiian of _ dlFurr Chetnei Ql=Cteslndy Aispakhad fly: (Signature) Outs Time rcy, r lab-By-(Signaturej trate 7iiiii <br /> � 1'rstlispor[Cutitainar T� Itvty'viitkt 1liisi Chrurt(tiy'St3rlal Na)— Send Lab Nesu4ts tia Name:) {Check Off ve Serbels Alcluested: Ye ' No C7 <br /> DALLAS Ci FJE-MVFtT ❑ IAVIPIE _ C7 MT_VIEW f-1 F ORIEFI^ autEn a <br /> r, <br /> _WL(214)770-1800 TEL(:30Tj 7W,3747 TEL C/14; 75-1-1755 TEL(415j 9Gtt-1640 I-Et.(219)O2&6661 f <br /> FAX 214 77&0249 <br /> � fiAX r - , <br /> } 3t7Q 7894166 FA3t 714 7 7 09Bt7 FA74 1 9fsO tf F <br /> ( } ( j 5 (4 5) 739 IkX{2t�}92�-116E3 <br /> BOZ€MAN 0 HaiJ�`TC3N !7 KING OF PAUS A U PLEASAwim NGRTI.►iNO aftiEr ---------rn <br /> TEL{400).58&6496 TEL(773)5569-SM TEL(215)837-2551 TEL(510j 4Fr3.9117 TEL(503)241-OM <br /> FAX(40b)506,9724 FAX(113)5:3"118ib FAX 0513&-0560 FAX{51(1) 463.2981 FAX(5NI 241.0486 FAX.---_.-____ <br /> CANONIE ENVIRONMEMMA SERVICES, Cw RO •T1l41'O GALLERIA TOWER • 13455 NOEI-ROAD, SUITE 1500- DALLAS, TX 75240 • 11_LET'HONE(214)774-1800 • FAX(214)77114249-. <br /> SERIAL Flo -- -- -- - -- - - -_..r..�..-.—.: ... <br /> 0) 7 1) r)'� MOW-Fier)rrmv YEI 1VAt-Ple(ect tMn v POOK:I a[;rrawjr CrSr'f -- <br /> - PFV ft-5'9 ' <br />