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rr r r �■r r� r rr r r rr r r r � r r <br /> Applied }' k C11 Labora1,oI . Chain of Cush <br /> 13760 Magnolia Ave Chino CA 91710 <br /> A C LTel (909) 590-182.8 Fax (909) 590-1498 Plezist, Print m jr,•rt <br /> Contact: 1t r -r+ 1[] #{:.7k,�f. r � }ax '# [" Gf'L <br /> idr tl•`, f , ' G <br /> , <br /> (�tt}' �f'-. vl,v0 4tatc: c `I,ip code: G�� Y ---- <br /> ]ill] Aria]}-sir [this ---, <br /> f?roje(t \'alllei(:ad'. P. �? I <br /> ' Whlti• <br /> }'roa4 ct Addre,s APCL Quotation # <br /> flue Date ;rrFuIar ❑rush: da}'s hours Sampled h}: //// <br /> �" 1'rlln.v I-air c[(i <br /> I'Irk - OnFlnale,: <br /> } ItlIl Sar13{Ile I Sample }date Time Sample Presvi- Z' of � <br /> II) 1r.. Ucscription Collected \I atria vatioll C•ontalner5 <br /> 1� <br /> '7 r r F1 if fl f <br /> I, t1 A <br /> f f ll If 11 1� IR <br /> 'l ' 4 /til•— � l l I{ d l I, �r �_. � _ , I <br /> I <br /> I i I i fi I �1 I I <br /> _ 1 <br /> Qt' R••qutreme•rit ❑Regular, ❑QA7QC Report, ❑WlI', ❑Raw Data, ❑Extended Raw Da!a ❑CLP, ❑ACE ❑AFC$E ❑tiEESA_(E,C or D). Othl; <br /> ls;frllt;w D)sposai []Return ❑D15posal by APCL Ell-fold for days after receiving date If not specified, saritples will be discarded 45 days after samples are received. <br /> sample Cundftions: ❑Intact; ❑Broke Coder Seal: ❑Intact; ❑Brokr.n; ❑ lone . Tag #1 7rtnperattvr. ❑ Rrrorn ❑(old <br /> Rolinyuishcd by Uate/'Time <br /> �212 f / v�db Date/Time 2�4tk - <br /> 11c•1lmpjished by Date Time <br /> �--- / / Received by Date/Time / <br /> (APCL USE ONLY Service # Note: <br /> 'rwlerstand that all terrns descrihed )il Ihr proposals, quotations for thus project, and/or [he general turns provided to the current Ai'C1_price srhefiu}e•s will [it, fallow,.d APCL res,,rv,-� 1!r rr1;h1 <br /> Iv r.Fm IlIatr Its servue or wItH: uld delivery elf any repo:ts, If In APCIA sale dlserct+ou t!ce rcrrlls of the proj_1 have !—'-n broken <br /> A II.nm t-In'I V.r 1, Uri 711; 19 4 <br /> knni-f�lr(I t;_.T nA-IA LA fill.Si AITN_14t)t/'] e.k I il-tl-I:ti; DATA LA flit 11 AI:-e'I I.h _ <br />