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PRECISION ENVIRO=T <br /> ECf-1 c xalN OF cusTonY <br /> CLIENT DETAILS AND ANAL1'S.LS REQUEST DOCUl1EAIT <br /> REPORT INTORAIATI[ON <br /> 7ne <br /> 1C Bush Analysis: 5 Days _2 Days <br /> _19hr <br /> C • b Sampler(�s): <br /> 'umber:- �� Subject.to surcharge <br /> Comp Sampler Set U Date:i <br /> Up Time: QA/QC report required: yes no <br /> y�C' , <br /> Oak 'ral-IQ Rem d <br /> Time: Mileage: 1F yes,To: State Client Other <br /> v� `� 1 5 4 '� <br /> Lab nurnber:S0'( Z�I l J - I 0 <br /> JL' <br /> 'IX L C" it <br /> uP <br /> �2 3u f� <br /> 3 _ <br /> Pro _ _ ! <br /> Project name: G = z ` f <br /> Contact person: <br /> Sample <br /> lr� .4 <br /> Nuu;ber Location Description .Date Time - 4 "`3 _ ' . <br /> b ,.Dale <br /> Sample F z' a 5 3 - �" �.• l <br /> & /DP <br /> z ° 1 5 V JP <br /> 1 <br /> Relinquished by _)Dh C bate 1 <br /> -���45me 1 �J 0 1'f4fleceived �, � ����,� <br /> Relinquished by Date ZV 5LSTirre L Q ' 1� <br /> Date Time Received by: <br /> Relinquished by: bate <br /> Date Tilue <br /> Titne``�ceived by. <br /> Date-Time <br /> ; <br /> PRECISION ENVIRQ.'j`ECH 545 E•Cleveland,Suite A Stockton CA 95204 * Telephone(209)462-0892* FAX,i9.n4► <br />