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3 <br /> 1-60'14USTODY RECORD <br /> BOY' . . .. - . (Page--:—or) !t <br /> ~ <br /> JED?,-Enviroi 9808080134- BOYAJI AK&ROS v - K NO e.It It <br /> 132D Fast <br /> Tet:'' rated: u N �T�man <br /> lnature• 14,11,14c 1 <br /> ` . <br /> Billing: g IcAtt ANALYSIS REQUESTED TURNAROUND <br /> p .+�'r�l y <br /> ❑ RUSH ❑ _ HR. <br /> � a ROUTINE <br /> Attn: P-0. 1 t <br /> Report BOYARIAN&ROSS.INC. ' 3 O 0 NOTES: + <br /> : 1320 EAST SHAW AVENUE SUITE 155 Q o <br /> 'FRESNO CA.93710 ` <br /> c'o <br /> + E <br /> Atm. N Z REMARKS <br /> DATE TIME SAMPLE LAB a( w Preservation, Handling, <br /> NO. I.D. NO. � �� 10 or Observations <br /> Y, 7 <br /> :cis 5 �oaq a � ;- s �7 3 ' <br /> .'S S_p I O :� r S 4 <br /> S a I I S <br /> Zo + <br /> ir <br /> 5 -01.3 <br /> ` s X 1)( tJ. <br /> f Z �S S�aIS s X — <br /> ' X Xl <br /> S - I <br /> X � <br /> .�16 <br /> Is 5zo -5 <br /> ry <br /> Water, Vapor, Other) Total No. of Containers Iz- <br /> I=CIAL INSTRUC IONS: � +� �`� r itr <br /> SP <br /> k or n <br /> 'y <br /> LINQUISHED TO: SAMPLE .RECEIPT: <br /> RE _. <br /> company: ❑ Received in Good Condition <br /> Printed: , <br /> Signature: Date: rime. [:1Samples properly Cooied. -Temp. <br /> RECEIVED FROM: <br /> ❑ Proper Containers H <br /> Printed: Company: Method of Shipment: ' <br /> Signature: <br /> Date: Time: <br /> RELINQUISH Y• d Comments: <br /> S �ti 1 <br /> Printed: ��I /r Company: <br /> Signature: <br /> { .Date: � g f Time:10 <br /> RECEIVED .BY. (LAB) - <br /> Printed: a~� Company'. E� <br /> U Sinature: Dater e Time: f <br /> DISTRIBUTION: White - Return to B&R wl Reports Canary - Laboratory Pink - B&R.Sampler <br />