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f \ <br /> 2003051843 0'/29/2003 `pU <br /> ANALYTICAL <br /> FAT Standard � Anses Request <br /> BSKLABORATORIE5 FTHILL_ENG Chain of Custody <br /> 1414 Stan[slails Street Fresno,CA 93706-1623 529063 Requested Analyses <br /> (559) 497-2888,800 877-8310 (559)FAX 485-6935 <br /> Chen Report Attention Phone i <br /> L �t 9 <br /> A ti y Pry 4 Doti or PO► �. t � a 2��z�ILD <br /> A _a7-11G <br /> City State Zip 6.9 Copy to system# EL { <br /> L_ <br /> LAB use only Sampled by <br /> � Comment or <br /> Date Time Station Code <br /> Smile typeSampled Sampled Sample Des cr n/Location <br /> cant. <br /> l L � Iz <br /> r4 o <br /> eb;L1 <br /> y <br /> I DCS 1 ��1 Ox <br /> 0 CO- V <br /> Matrix Type L Liquid S Solid G Gas Additional Services Additional Services 1 Charges Authorized By Payment Received with Delivery <br /> Type of Hazards Associated with Samples Rush Priority [i 2 Day [] 5 Day Date Amount$ <br /> [] QC Data package Level D,III or IV(circle one) Check# Initials <br /> [] Formal Chain of Custody (Signature) Receipt# <br /> I <br /> i re Print Name Company Date Time <br /> Itec tllnqu ed <br /> f UIQ �.� /v Ili I/ll SZ G J" 94 <br /> It PUn4U"IhVpd)r- <br /> Reaive( /1-c—quistied by <br /> ReceWed for <br /> z <br /> rn tick Paymen a rendered as noted hereinare m full within 30 days from when invoiced If not so pai t halances are deemed elmquent Delinquent balances are subject to monthly service Ire bllhng s and interest cal <br /> tufa at 1 112%per month 18%per annum BSK&Assoc t s shall be entitled to recover on delinquent,-ccounts cos s of collections including attorneys fees incurred prior to or In litigation whether concluded by judgment settlement compromise <br />