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F,,- USTODY RECORD <br /> BUYAJ (Page_or—) <br /> i <br /> Environme 9808000084- BOYAJI AN&ROS . ' .r , o. L'... <br /> ' 1= Ease shy. <br /> TaL (mg) <br /> lire: — <br /> Billing: •lc o . ANALYSIS REQUESTED TURNAROUND <br /> i 51�S 1nj r m -❑ RUSH . ❑ _ HR. <br /> 01 <br /> r, o CC 5ROUTINE <br /> Atte: - C rcl,rha+n P.O. M C) G <br /> Report BOYAJfAN&ROSS, INC.. x � O 0 NOTES: <br /> 1320 EAST SHAW AVENUE,SUITE 155 <br />— FRESNO,CA.93710 CD m <br /> 43 76 1 E E <br /> Atte: <br /> SAMPLE LAB Uj <br /> z REMARKS <br /> DATE TIME Preservation, Handling, <br /> NO. I.D. NO. Q 1 1 1 1 or Observations <br /> q g 10= I3C i VV Z iS oe a% itt b+ <br /> qtr-�tl z <br /> "L' �4t �IYNM�W 4�C 1M <br /> W-oda <br /> -Z- g ++i-�z <br /> L 72,1,51r <br /> 4b BC <br /> C�:taC� 5`001 s' x Z 3 l L3n n-ac,d.rh�d <br /> 00 -7 <br /> S -7 <br /> C' 5-003 S -z- <br /> �t8 <br /> rs <br /> az w <br /> 8 �8 <br /> Icze> 5-00 ,j z L <br /> Co <br /> (Soil, Water, Vapor, Other) - Total No. of ntainers - <br /> SPECIAL INSTRUCTIONS: <br /> SAMPLE RECEIPT: <br /> RELINQUISHED TO: <br /> Company: ❑ Received in Good Condition <br /> Printed: <br /> Time:�- [:] Samples Properly Cooled, Temp. <br /> Signature: Date:, <br /> RE=CEIVED FROM: ❑ Proper Containers <br /> Printed: Company: Method of Shipment: <br /> L <br /> Signature: Date:. Time: <br /> t RELINQUISH D BY: Comments: <br /> anyt4 rl , <br /> Printed: —� i. <br /> Signature: Date: Time: 5 <br /> RECEIVED BY: (LAS) �, L 11 &D y� <br /> Company: <br /> Printed. �j <br /> `K <br /> Si nature. Date:DISTRIBUTION: White - Return to B&R wt Reports Canary - Laboratory Pink - B&R Sampler <br />