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�j <br /> ANALYTICAL CHEMISTS <br /> DATE: ;2- V^ �?2— <br /> ell <br /> CLIENT: 5' �� � .-, � SAMPLERS. s <br /> `� '� '`-'��5� PROJECT NAME: <br /> ADDRESS: CONTACT PERSON: C;26&-Q,-!T_ <br /> PHONE: Al la ) U <br /> SPECIAL INSTRUCTIONS: Purchase Order Number: <br /> Sample Location Date Time Number of Type of Tests Preservative Date <br /> Number Description Sampled Sampled Containers Containers Required Added Required <br /> � w <br /> �J r <br /> �^ <br /> W _ <br /> Relinquished By: Date Time eji ve d 0a fe Time �l <br /> Relinquish d By: Date Time Receive By: Date Time <br /> Rei q fished By: Date Time Received By: Date Time <br /> Corporate Offices R Laboratory office&Laborstory Field Office <br /> P 0 [lox 272/859 Cnr mralinn St 2500 Stageroach Road Visalia Callromia <br /> Sailta Paula CA 9 Hu;l Stockton.CA 85205 TFL 1209)794 9473 <br /> 7L[ (8051 659 0910 or 525 9824 9EL (2091 942 0181 While (209)738 6273 <br /> f AX (8051 525 4172 FAX )209)942 0423 <br />