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ANALYTICAL <br /> LABORATORIESAnalyses Request <br /> 9901000188 BSK S Chain of Custody <br /> 1414 Stanislaus Street Fresno, CA 93706-1623 Requested Analyses <br /> (209) 497-2888, 800 87728310 (209) FAX 485-6937 <br /> '3c5< �0 <br /> client N c Report 3F Attention <br /> PIec- Fl:'C ie Phone#CR 1�) X53-yZ 9 <br /> Address Proles Quote or PO# <br /> /2lJ � D v°5-3 q Y�- <br /> City State Zip Copy to "tem# <br /> CASampled by <br /> Coot- <br /> Sampled �J[Lo_n Comment or Time <br /> Sam led Sam led Sample Descrtption/EocaStation Code <br /> ? <br /> h <br /> NILS- 3 - �+4CK +s Q�C�U+p-ED y, Cc <br /> w <br /> �t <br /> C <br /> z ciJ �-�`Z_ rare s PrP 10 <br /> 'K <br /> , <br /> 5 <br /> a+ a <br /> tom« <br /> k+ <br /> I <br /> r I <br /> Matrix Type L Liquid S Solid G Gas Additional Services Additional Services Authorized by <br /> Type of Hazards Associated with Sam les l medct R �vitlt lleliveryF <br /> P Rush Packay �ai. <br /> ay [1 5 Day Check �o <br /> � QC Data pactiagHI or ry(ciircle one) ' <br /> (1 Forma! f Custody r. ..o,—1pitials <br /> (Signature) <br /> S a Print Name Company <br /> R / Date T <br /> ime <br /> f..), r�ET�tJ�1-�ReY�Recetved/Relinquished bv, <br /> t'rpq•wear'' t"vf Notice P ym Wher <br /> d as note a ue in full within days from when invoiced If not so poi nt balances are dee ellnqueM Delis uent balances are subject to monthly se icelra bilUn s <br /> culated at annum BSK&Associates shall be entitled to recover on delinquent accounts c Ifechons incl ding alto a Eees 3 pnr t i ati or olhe WVCoriWpres�wledcMthay�r the fm atrtin em o> nt g y Pron <br />