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G LENVIRONMENTAL , <br /> ANALYTICAL CHEMISTS <br /> DATE: /O-/D- 4 <br /> -� SAMPLERS: V)C-T <br /> CLIENT: SIC <br /> PROJECT NAME: ZA LJe �i <br /> ADDRESS:} s /U• n � a��n _ CONTACT PERSON: eleg4g,- 7e -- ' <br /> S n <br /> SPECIAL INSTRUCTIONS: Purchase Order Number: <br /> Sample Location Date Time Number of Type of Tests Preservative Date <br /> =°Number-- -Descri tion--��--.�-Sam led, -Sam Ted.Containers�Conta'i'ners`-= y"-LLRequtred�'—' Added � 'Re uired <br /> VV <br /> L.) <br /> w 1- Id-/cam y� <br /> w 1f <br /> 1.Ir <br /> Iq I I ' S <br /> Relinquished By: Date Time a eive By: 0ate Time <br /> Relinquished By: Date Titre Received By: Date Time <br /> � 7 fs"2 f <br /> Relinquished By: Jate Time Received By: Date Time <br /> Corporate Offices k l aborafory afflee R Laboratory Fleld Office <br /> P.O. Box 272 /H.'I(. 'I'ur:,lkrrl St. 2500 S(:agecoarh 1{oad Visallu,Callfornlfl <br /> 1Saufa Paula.CA 03061 <br /> 1EL:(805)659.0910 or 525-:1824 Stockton.CA 95205 TFL(209)734.9473 <br /> 18051 F25-417? 71:1.:(2091942-0181 <br /> FAX:(2001 942-0423 Moblla:12091 738-6273 <br />