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<br /> CANONIE ENVIRONMENTAL ,=IAIN-OF-CUSTODY RECORDS PROJ cT
<br /> `" (See Reverse for Instructions) m ca =N0_ J-
<br /> PROJECT'NAMEY�!��F "��fLPJPfc`�LT V= - c SAMpLERS' XLtS^' ? y ;r-SAMPLE CONTAINER' '' SAMPLE DESCRIPTION CODES- = "'' r TAT CODES.
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<br /> REC.ORDER' r �� f t �, � Ca Piasllc 60[Yml F,'Otfler Rinseate I; Other 3:"24 Hours '
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<br /> C-Send Lab Results.to'(Na1ne) an __ _ 1 -t tt��r' `1�A`A�tS�y_� [4 � '`%(Chiieck Office Below) �: Verbals Requested: Yes-
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<br /> AT , n m 9 r_Q ADEN ER x C, rr m N ,- l� „❑ M1:cVIEW fi : ' rj❑ PORTER''? -'.'
<br /> TEL.(404)951-0055 7 q7 L:{303)790-17471, r,"� TEL`714 757-1755 '~ :n ' it _ �f _ ru c; :'OTHER aV�S I CJ
<br /> Y _� _ r. ( )r c TEL{415)960-1640 ,;�� 'TEL(219)926-8651
<br /> FARC(404)956 9364 to AX.{303)799-018�� 3 FAX:(714)757-0960 7 7i c FA)({4W5)9&0-0739 n ;r_;' FAX{219) 92&7169 I - t F ZZ,rj"
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<br /> ❑ BOZEMAN gi r❑ r HOUSTON b N c' `� ',KING OF'PRUSSIA ❑ PLEASANT' WIT ❑ PO c '❑ OTHER
<br /> TEL'. 408 566 9498 u [ `TEL-713 5561666, [' i: c` { _ fjTLAND :i .
<br /> ( ) ,. { I oa c _TEL'(215)337 2551 t:; m TEL'(510)463-9117 JEL(503)241-0282 t [ = TEL
<br /> FAX(408)5869724 ;, ,,FAX;(713)556-0666; "� r..,-,u-FAX(215)337-0560 _ FAX(510)463-2981 T FAX 241-0486 FAX:
<br /> CANONIE ENVIRONMENTAL SERVICES, CORP. • 6300 SOUTH SYRACUSE WAY, SUITE 300 • ENGLEWOOD, CO 80111 • TELEPHONE 303 290-8336 • FAX 303 290'8013
<br /> SERIAL NQ 15 5 7 A WHITE:Fleld Copy YELLOW:Project Copy PINK:Laboratory Copy REV.8192
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