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C IN Cl---fir-, "EC`D <br /> 3PA E C)W LUu :, 1iv zz ., ���v ( C.o.C. No. 2 6 7 5 2 ' � v J <br /> Analytical Laboratory Phone.(916)362-8947 STAL Invoice Number: <br /> 050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916)362-0947 Page olf <br /> c� ANALYSIS REQUEST <br /> company: Phone: <br /> FAX: X91 c� �a "33'f REMARKS: 413 Sampler's Name: <br /> 'roject Manager: I� <br /> leport Address: Billing Name&Address: L`�C'2" <br /> _ �t/t �� i � Duk <br /> All None Some <br /> S f' OK OK OK WET STLC <br /> Project Name: Project/Job#: oC ,— <br /> �?a� TSample <br /> . v <br /> Project Location: P.O.#: <br /> ditionTCLP <br /> -tel- G'a C i1 t) Total <br /> Preservative TCLP TAT <br /> Sa ling Container Used Matrix <br /> W <br /> O <br /> co W C L <br /> ON <br /> C _ <br /> N N _ <br /> O � i • <br /> C Y_ V1 O d <br /> �) N O O O <br /> N O Cd iA a_ O \ <br /> co C� O a to m N ` <br /> O O N O U (n N 0 U n <br /> o co E 0 d a m C7 U) <br /> LO <br /> Z Y_ W O Q. O N 00 000 � O 0 O M N O <br /> U N Fn T C\Jo23 J 2i N ? <br /> > Cq = rb 00 22 00 � <br /> O a� a) 0- p cD a N 00 co — o 0 r ,,, m cn m <br /> 7 (n a J z X O (D (0D CD (0 (D L a <br /> o d E L <br /> E N m E a� _ c r �' — t w w z a a a a ¢ ¢ o v Q Q iso <br /> J 0 L v o m 5 H a n a d d o 0 <br /> NO. SAMPLE ID Date Time m N o = z o cn a o m m w w w w w w z o ac v v J _ <br /> 1 fi P P GL-. i 5C <br /> 2 • 11 03L,-bv i ►SSS x <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10Received b <br /> Rel' y: Re ived b Relinquished by: y� <br /> �� O� f Dater �J 0/ Time: 1 ' `� Date: <br /> Time: Date: Time: <br /> Date: Time: <br /> PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />