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BC ij A N A L Y T I C A L 1414 STAN 8LA ST.,FRESNO,CA 93706 <br /> J K LABOR ATO R 1 E S (559)497-2888•FAX(559)497-2893 •www.bsklabs.com D2�0�0,8022003 02/28/200f <br /> *Required Fields Temp RANEY GEO <br /> Client/Company Name*: Report Attention* : Phone* : Fax* : 228021 TAT: 5 Day <br /> /• <br /> ��f)'�`LYC-EO�CANIV Y:E_A{..L=fJC . <br /> ('1103-11-04.34 c9101,)--3iiel-a:. srnotyS.,yvlv�w1 Dvkl:aA- Email Ta. IIIAIIINIIIAIIILIITII0xcrI*II.II.I.I�III_III—IIIIIIIIIIIIIIIIIIIIIIIII <br /> Address* City* State* zip* Carbon Copies: (Circle One) <br /> 3iH0 oeckc(Jy� vwce • W Sc CTVWv446 CPt 15(cRi CDHS Fresno Co EPA <br /> Project Information: Z S`� P � PO# Merced Co Tulare Co <br /> ��^ �OC!�k1✓� uote# Other: <br /> How would you like your completed results sent. ,K y REGULATORY CONVLIANCE Q <br /> v ISE-Mail ❑ Fax ❑ EDD ❑ Mail Onl Electronic Data Transfer: Y N (A ( <br /> Sampler Name Printed/Signature* QC Request Result Request**surcharge System No.` _v <br /> S1Vv1Y1J J 17�x STD Level II ' S *2Day** 1 Day** n <br /> _ U <br /> Matrix Types: RSW=Raw Surface Water CFW=Chlorinated Finished WsteT CWW=Chlorinated Waste Water BW-Bottled Water <br /> RGW=Raw Ground Water FW=Finished Water WW=Waste Water SW=Storm Water DW=Drinking Water SO=Solid H <br /> sample 'u: Sarptea* Sample`i3eseriptioriLLocaiion:�'"' <br /> Z IZ Z i .7aet1 2Ik <br /> - <br /> >C <br /> - I <br /> I _I— <br /> r. . <br /> j 4 <br /> ki <br /> 1 e,,mquished by:(Signature and Printed Name) Company Date Time ved by(Si there' d Pent Name) ompany <br /> Qna.. S�wruv Dried, iLUIAltGe<1eclwica) 7_12,71(fr 14,3 <br /> Reli ed by: i an tigted e)'�m/ / Company - D Time Received by(Signa and Prin Name) Company <br /> M IGS <br /> x • <br /> x <br /> m <br /> Nallu:paymenlbr servimenMerea ere nOnd Mreln era Jun in Nil within 30 inherent calwlatelid t 14r*"I month,18%11 anwm.a3Ka Au0tlamn setlbmant,compmmieeaolM1awiee.Ther penin agnMpbale clbnVCompmry on tlils CnandeuebCy.My moOlfiuflondMe analyaia reaueslea,aimar type <br /> Jays ham when invoiced.lf not so paid,account Oehacas an dwmad dNilquant shall be entltleJbremaeron delepuanlarowms,root oloo8et3ona.intlutling eapnnNyaknowietlgen the theYNeBnartM CAUXnautlpnxolagenl While arpuanGtlea,will be note)UlJ agmJupon tllis CM1in of Cusbtly.TM1e Wm arountl <br /> Oelineuent balances are subjeHb momhty•erncNre-billings charyes and atbmeya feesircurtetl prlmborin lMgaeon whetherowtluJetl byludpment CHW-an th Cherdprwbhe mpomlMe fwprymentbrwlylkal cervices lima for airy eamplea rxeived atter 3:00pm"I begin the next business day. <br />