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R . MYRIG , & M MtI• II• IPage <br /> H�CIMUSMY WOfi <br /> Analyficai <br /> 4oratory Phone (916)362 8947 .0-C- No. 10843 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX 916 362-0947 of 2 STAL Invoice Number <br /> Company T7-F (A,r P, Phone 1(& 3(t 3 ANALYSIS REQUEST <br /> Project Manager M i M"Qx-r- FAX REMARKS Sampler's Name <br /> Report Address Billing Name&Address <br /> 3c N Ek•us S f. p <br /> ►'►1�?f-�.e.,- a lA Q��r . 1\QS <br /> I All None Some <br /> Project Name DSA Protect/Job# -:7-6t 5-1L OK OK OK WET STLC <br /> Cooler Temp oC <br /> Project Location S{,i�e kA �G�tT► .� Po# ����s Sample Condition TCLP <br /> pH <br /> Preservative TCLP Total <br /> Sampiing Container Used Matrix TAT <br /> r � <br /> m o <br /> �j m T N I <br /> O O Lr) a_p N <br /> Z � <br /> Cl) ao OD_ o d <br /> `o a " m N t ¢ I <br /> u3 O O N y U V' i[1 m a N cc <br /> m o 50 E ,� a U C v <br /> m o y�y U No 0 a 0 0 0 0 12 aS y y m <br /> Q y t0 � a 2 O O O p N N U' 0 d :� U <br /> O d a o Z c(n a_ W a <br /> q� J <br /> ! 1 r E `.7i E m �, c� �, y� v Co w 0 0 M <br /> to <br /> NO SAMPLE Ib Date Time <br /> .- c��f 2 Z O V] m a W W W W W W Z O U U m U) Q 2 <br /> 1 S0631Z5- 133o X <br /> 2 5'Dc-4 - t 7 716 1430 ly <br /> 3 .5-b e-Li 'Lo -M5, k i Ik X <br /> a s n t q —Z1� ! 0o X X k X k k <br /> 5 <br /> 6 <br /> 8 <br /> 9 <br /> 1 t) <br /> Relin uished by Received by Relinguished by Received by <br /> Date J( Time Date Time Date Time Date Time <br /> 'PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />