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Faollfty Number <br /> CAL 5S # 11195 contact (flame) . MR. AVID CAMILLL <br /> r <br /> Faalty Addnee15 00 out Inter ' {Phone) 925) 277-2384 <br /> Consultant Profeot Number 180175.85 Laboratory Name Sequoia Analytical / •� <br /> 111740:s GO Consultant Hom• — Laboratory R!laaee Number ` l Z7 <br /> r..e.wrr,e�a-w,a Address 6747 Slerre Court,,SidCP J, Dublin. Cd-9-16 Sample. Collected 6y�Nams) <br /> aomCe.c,ter-e+..m I1 <br /> s.■t+.�acrr.re.au Project Concoct (Name) Deanna L. Hardin Collsohlon dol. <br /> (Phone)J LS-551-7555 (fox Humbar)cIZ5 -5 1-7888 Signature <br /> Mob'sea To Be Performed DO HOT BILL <br /> Cc Q TB-LB ANALYSIL <br /> � = a zo <br /> Z5 0 <br /> a t l s 94cs . . lJ <br /> 1 pE m o uu0 0. <br /> YY �# a r• u O� CN YN � n <br /> La r cR t° �0 a$ c� �Q Remarks . <br /> TB-LB 01 W Auk <br /> C4 Is- <br /> 05 <br /> Rdln uleh•d By nature) Orgonlzatlon Date/TkneOP P4 ReoelYed By (Signature) Organization Date/Tlme 5'. Tum Around Tlmo (Circle Chow) <br /> G-R Inc. irr V.0&J21 CA-Rewe. '11- 24 <br /> Relingdshed By (Slgna�tA Organitatlon Date/}Tme0WJM Received Slgnature) Organization Date/Tlme AS Hrr- <br /> Relingw4hed By (512naturs) Ofyanholilon Dot• ms Rwlev.d For laboratory By (Signature) G Dot* �9 hs Conauoled <br /> ��ua/� f 1 Z- <br />