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T 1 l: Alr MM = 71ysWe <br /> tr-Ai0'RATOME, BSK Submission# Anquest <br /> ��/1 � � Chain of Custody <br /> 1414 Stanislaus Street Fresno, CA 93706-1623 7 % cam`• Requested Analyses <br /> (209) 497-2888, 800 877-8310 (209) FAX 485-6935 <br /> Chent Name Report Attention Phone/ <br /> Addrem <br /> Project Quote or POs FAX 0 <br /> City,State Zip Copy to System I <br /> Wuse only Sampled , <br /> Date Time V1 Comment or <br /> typr fain Sampled Sampled Sample Description/]Location Station Code <br /> ZL1 4, <br /> Z�1l4 S K/ <br /> S -- <br /> S -- o. <br /> CIV 46"1 113zq S -- S <br /> 114e 9 - 96 A4 Lotlk <br /> qn1- <br /> Matrix Type L Uquld So G Gas Addiuonal Services -- - <br /> Type of Hazards Associa th Samples ush Priority [ ay [] 5 Day coal Servl by Payment Received with Delivery <br /> /11 <br /> Data package, I or IV(circle one) CheckAmounts <br /> [] For in of Custody I "" ---••�itials--- *- — <br /> Recelpt _ <br /> Signature Print Name Company A Date W - Time <br /> ed Relinquished <br /> f <br /> O <br /> R u <br /> Received/Relinquished byt <br /> 116, <br /> Notice Aayment for aennces endered as noted herein are due in full within 30 days from w en invoiced It not so paid,account balances are deemed delinquent delinquent balances are subject to monthly s rvice/r <br /> cufated al 1 1/2%per month 18%per annum BSK&Associates shall be entitled to recover on delinquent accounts costs of collections including attorneys fees incurred prior to billing charges and interest cal <br /> or€n litigation whether concluded by judgment settlement compromise <br /> or otherwise The person signing for the Chent/Company expressly acknowledges that they are either the Client or authorized agent of the Client <br />