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7""1 ,;'tel �1, <br /> IFa[]-TECH �HA�1N JT CU�TUDY <br /> PRECISION E N AND ANALYSIS REQUEST DOCUMENT <br /> DETAILS <br /> ' INFORMATIONREPORT <br /> 7Sampler <br /> Rush Analysis: 5 Days 2 Days-24hrh— <br /> Client:�l' �� �, l"1 ��� _.�_..-- (s): <br /> Subject to surcharge <br /> Customer Number:_ ----- Comp Sampler Set Up Date:— Time: QA/QC report required: yes no <br /> Z Z (.0 0,5.T if yes,To: State Client Other <br /> A d fires s: - Time: Mileage: �l <br /> Lab number: <br /> Phone: ZC - 367._ 70 <br /> ,I � <br /> +� <br /> Project name: ' <br /> N <br /> GL <br /> Contact person z o <br /> W M <br /> e v z <br /> E v u c° .moi �' ►�' m -p <br /> S AMPLE INFORMATION <br /> SampleDate Time a }o <br /> Num}�er LOCat10 Description Sample $ample z a a <br /> OD <br /> �/(� .� Date ��l�iTime <br /> Relinquished by; ' Date7_ ':!?�ime Received <br /> u <br /> Relinquished by: Date Time Received by: '� Date Time <br /> :7:= Relinquished by: Date Time Received by: Date Time <br /> PRECISION ENVIRO-TECH 7743 N.West Lane, Suite B2* Stockton CA 95210*Telephone(209)477-8105.*FAX: (209)477-8148 <br />