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PRECISION ENV 1 R D-TECH WD"ALYSIS REQUEST DOCUMENT <br /> CLIENT DETAILS 4��, SAMPLING REPORT f� <br /> INFORMATION <br /> Client: l� G4 Rush Analysis:5 Days _ 2 Days_24hrs" <br /> Sampler(s . 1,L <br /> y.t4 <br /> Subject to surcharge <br /> Customer Number. 9 <br /> Comp Sampler Set Up Date:— e: QA/QC report required: yes no <br /> Address: Time: Mileage: If yes,To: State,-ClienX` Other <br /> Lab number: c <br /> Phone: <br /> FAX: e.9 a p �1r _ <br /> P, . m °� _ m �] <br /> �7 �- � ?� a x <br /> Project name: 4� L` I F fl 8 , ' s <br /> d N <br /> L7 <br /> 9O <br /> Contact person: 19 <br /> d o o <br /> A <br /> - - p 7 .] <br /> SAMPLE • G F" A m � d1 G1 .1 <br /> Sample DateEime d �e � � � '�Q y <br /> Number Location Description S�rnple Sample z� a � crro� U <br /> Md S— �,� 3 k <br /> �rL._ x k <br /> rrw C <br /> 4f W who <br /> wh <br /> Al <br /> MW <br /> 3- z s <br /> x76. v 3X x1 I I I I4 <br /> Relinquished by: Date Time Receive Date ime <br /> Relinquished by: Date Time Received by: Dftte Time <br /> Relinquished by: Date . Time Received by: Date Time <br /> 7-1 . <br /> PRECISION ENVIRO-TECH 2040 E, Harding Way Suite B * Stockton CA 95202*Telephone(209)462-0892*FAX:(209)462-7935 <br />