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yy <br /> CSA111 OF [11574 )IpRT. <br /> Project Ho. c <br /> project Na r: _ Jt ? of 7 ; <br /> Sa'ptefS' ar <br /> Richd Brunner _ <br /> I Alflilatlon: leedshill-ITcrkenhoffa Inc. <br /> a )Nue pyl <br /> Si4naurel tune) <br />�! <br /> 3 <br /> 5hippm to$ Superior Analytical Shipped byr L_eedshill-Herkenhoff,Inc.Dalewpordr <br /> .� <br /> llama <br /> �s Burke 5 <br /> t,. Unit <br /> 303 Second Street, Suite 890 North <br /> Address �"---------------- <br /> San Francisco. CA 4411x:4 San Francisco, CA 94107 <br /> _615!_647-2081 _ 4 <br /> _ (415j 243-9980 <br /> --- .l..osM>1.M...MaMMYYi.aeliS[is MaM.ealMsaM.w.laps.2t.v.11exsa>t�;�)�xaiaasl�.Aa st as xe w�lssta�{.��1Ajya.a MR Mg MR,.sfipuu.�ssLYt>a;....s.f ae y.ssrsrs. , <br /> Collector's 51rple ISample No. of i <br /> Sasple 1s7. I <br /> Location dale E Tice f Type Containers:! Analyses Requested Rrrara <br /> uesaste=a�..[sip MIMI raf:=2 Melt r �43:aaesc.ase�caF;�aYaasesilsls.iu ssts - <br /> exexs:t_Malls:'shasasx"sx ■.............laMa...■ 3 y <br /> dt_._-Q�1 Svnu..l� an�l,•rac _ ,f'�.irnr Cv� i7r <br /> 1--�LrCJ---�-r <br /> �f: � -..._�_-�.__..-._... ' t 5 <br /> ----------- <br /> ---—--—------------------------- _ -" <br /> .__.... - <br /> ..._.. r_c^ss:acc:a sou.reMxs:za_�:_eaxrs_sraMsaasa'ees:ra�:a cec�:.:e�a■ ••_•••'_•••••••••••••_____ <br /> Pelir�uislyd by: pate! Ticr. ( RecE b Date! Tine Relinquished by: Date/ Tine Aecei,ed by: pate! lin <br /> { iS/iyrwt°ireY ��! ; 9, t <br /> '0, <br /> ISign,lure! I � <br /> h r <br /> r <br /> lelirgvislyd by: Date1 Tine — R Lived byt r D _ r .. Rr1440shed byt -pais!Tlrr .. Atc-rivrd by: <br /> — -�~ <br /> lSigroturtl I nature) <br /> 15i pile! T:a.e . <br /> g � [Signature; <br /> lrlirgvlshrd>,yt 01te7 Tise 4Received by: D+tel Tise Reliraulshed hf palrl Tlu . htceiie4 b.: <br /> 15i nature) I par! Tut <br /> 1 '' � ISignalurel � t5i�r�ulcrel 15ilruturr! + � � <br /> - <br />