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o � N(bG FWC.� HMR0A%, SfNY RM0N r <br /> Analytical Labora#ory Phone (916)362-894712age—L— <br /> .Q.C. NO. 10842 <br /> � <br /> � / f <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX 916 362-0947 of Z STAL Invoice Number <br /> Company -T-r err. Phone 916 3& / 7-&7 3 ANALYSIS REQUEST <br /> Project Manager ,' - }�,`f FAX 3 0 �- REMARKS Sampler's Name <br /> Report Address Billing Name&Address fps <br /> '363'1 t7 k"s <-- Sa lu e, <br /> 05 <br /> �� C4r <br /> MO A ,55- All None Some <br /> Project Name 1)S S DL ProjecUJob# 7b 8 S gZ OK OK OK WET STLC <br /> T Cooler Temp °C <br /> Project Location S 4L- -I-*A �"��vd P 0# it Mu 4-4'[ Sample Condition TCLP <br /> Preservative r_7 TCLP Total <br /> Sampiing Container Used Matrix TAT <br /> ;n <br /> o � <br /> CD r <br /> m o <br /> C � C <br /> ip N L r N V <br /> ao z cu <br /> y a <br /> o o % not z a <br /> Lo a � U <br /> +n m a a <br /> CD O `D E <br /> Lu <br /> o N = <br /> O m o <br /> 0 -R to <br /> ti =IctN ao aoo aQNN <br /> o oo ao g m <br /> a o. a a _ <br /> y E T it a m cQo w cNn w O r Z <br /> s E �' o L c — t _ ¢ ¢ ¢ ¢ ¢ ¢ @ c 1° c y <br /> IVO SAMPLE ID Date Time m C2 O s z 8 in - m a w ui w w w w ° z° E' ¢ ¢ °i o ix' i <br /> 1 AC 1 - � a d x '<I x x <br /> 2 SC. - 7,0 o <br /> 3 SOLI - 2-S oc <br /> 4 Se_I - -3 I � <br /> 5 5 cr 3� 1030 <br /> 6 5DC2 1110 <br /> 8 52)C2 -7-7 1 <br /> 9 SDe- 3- t5 <br /> 10S C - 1-0 130 X <br /> Rel,ng ,shed b Received by Relinguished by Received by <br /> Date �t Time Date 7 7 Time 11;15" Date Time Date Time <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />