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ERMABAWORM," M MMAM%F ("RL-GIIRD_ _ <br /> L 714.758.4988 bate '� I 1 Page of <br /> I X 714 •758 •9692 <br /> 2rFA,5,25 Endeavour Place•Sutte D• Anaheim,CA • 92801 Lab Project NoL _S �' ID(7 - <br /> rj 5Client Grp Cllenllkoj Number/1'ruj Name Analyses Requested <br /> II'' p <br /> Y r{ I 'Cdenl Address M L 5M_ C jj^ , <br /> fillIry <br /> I� 33 <br /> taro Around Ttme 0 lmmdW.AlkhOm q yn u <br /> r n r Requesird 4 ti _ <br /> ily i C)YuA 1449 hwm 3 <br /> —b52-3�b 9 <br /> 1 k <br /> Cit. TeL Nw A b Raih illi iwn i a B <br /> lj � r clival Fax No �p—p 5 •4Normat a < x <br /> r ' Clival Prej Mar f Q"k[ Cl Mobila o a a S <br /> S o q <br /> L' Cunla[ner No,of <br /> 5 <br /> Client Sample No Date l It(4e Mailunt Prrsery alves rypc Containers = B R) r5 Comments <br /> 3 1-i5pm c1 JOA <br /> 7 1 �C <br /> I,iAdVDA <br /> I <br /> ,t, la 0 j JC <br /> 1, 7— X <br /> I- a t i��l VOA- "�—� a <br /> i , <br /> SAmpYrSignature Shippd4ia A)rbrnl7 [ .S Total Number of Containers hampit I)lsposal <br /> campasy fflMMeA6A ((arr6'1w.FWUM.) 5 �� Submitted to Laboratory �pemr.(ocli<ni <br /> The dearrrr of samples and the signature oa tha Chain d eaewdy form Co Iltutes _ <br /> i <br /> I l; Rea akh.d 6 Date Rerei+ed A Dale �1 aulhwlraltrn to ptrrorm the analylmipatfkd shove under S[LRRALI Term=aad I an Deposal <br /> 41 r,�(( /' Cuadlliats unless o1hsrwYr aiyrrW upon is wrn[rq between SILRRA and CLILNT <br /> -Llt.A— ✓~. 6,f Flmr O G o ❑ Arrhrve <br /> Coen an Tlme (aur n 5 r L �u <br /> Total Number of Containers Dlhrr <br /> RetlagrYhed 9r Dale Raa'ri+ed by Dalr I q <br /> campaer - - - - -- -- - Tkme - Coanpa.v - -- - - - Tlme - - --- - -- I - -Received by Laboratory <br /> l ` F( AF1ORATORY t1Sh ONl Y Sample Reeelpl Cvadifloas <br /> ' rirhed 9r Dal. ileoel+ed 9y I Dale Chilled Appropriate Sampk Coatumer <br /> com-P!by Ian, I.tact Appropri9fePreservalMes <br /> t <br /> Special instructions <br /> ' Il 5 7 163 4572 <br /> Sampk Soars QIAer <br /> Properly l.F�drlea � OlYer <br /> as, CIINi DISTR[all FIP We To Aitwnpan)Sampke Ydkw Lxlwraauy opt Ptak Field Perauand Copy <br />