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I 1 I 1 I I I 1 1 1 I I 1 I t f I t I <br /> PRECISION ENVIRO-TECH �HAAL SISREQUEOF SJTDOCOUMEYNT <br /> REPORT <br /> CLIENT DETAILS <br /> Rush Analysis: 5 Days _2 D s 24hrs <br /> Client: Al[EL D Gbit)DSoltf A 7comp <br /> ): Subject to surcharge <br /> N 0.. A <br /> Customer Number: QAIQC report required: yes_ no — <br /> pler Set UpDate:— Time: <br /> L If yes,To: State _Client —Other <br /> Address: t JaUSTDn1 Time: Mileage: <br /> Lab number: <br /> Phone: ( z°R) 36p7 - 3701 <br /> ai� a � k.' :x FAX: F7 1 �/ER 1 �ArJ Projectname: s 3 a s"-a€�fl � Cy <br /> Contact person: <br /> aL2SAMPLE S. v <br /> .ItIVIATION <br /> •a `a s moa t � Q 2 �a� e <br /> SampleDate Time '< <br /> Number Location Description Sample Sampl/e z°> <br /> EZL I �C� J I <br /> a solL - wQSr Sloe <br /> Il- cCA6T t <br /> r <br /> i <br /> r <br /> i <br /> i <br /> r <br /> jate 9 �Time�lsZ Received by <br /> J Relinquished by: {/ <br /> Received D Date Time <br /> Relinquished by: Date _Time Y= <br /> Relinquished by: <br /> Date __Time Received by: Date Time <br /> i <br /> J <br /> OW%Nti PRECISION ENVIRO-TECH 645 E. Cleveland, Suite A* Stockton CA 95204* Telephone(209)462-0892FAX:(209) 462-7935 <br />