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MOOD a' ERMPCEMM DIS AND ANAL • E "ry` T �■■ <br /> TAMPA FL 33612 AND YSIS REQUEST 2 4 <br /> 1 q.n � f •rr+r,rr rw Y• <br /> iAso AIORIrfNINC (E#HMIIAL813) 979-9092 ` 'I�� �I1 "" rt • <br /> Comf�y� Phone# <br /> ( •� ❑ <br /> �J FAX N p ❑ <br /> COALtse36 <br /> pang Address Site E do W s <br /> Cl ❑ ❑ ° ° 0 o ❑ <br /> a�r„o`jecl Manager Client Project Ill (N 19-M — ?.zC�(i, W❑ # + _ ❑ ° <br /> 1I 1 r, 1 .Ju' 7 r a A m p [ <br /> NAM i�f'('K62� , 4 ❑ p ❑ z z ❑ ° 0 <br /> I attest that the proper Held sempll g mpler Name(Print) a ❑ �n , ❑ ❑ ❑ <br /> r <br /> orocedures were used during the collodion 3 O o ❑ w a s ❑ g 0 <br /> 31 these samples ❑ o n. <br /> El <br /> to Matdx nMethod Sampling 9 e m p w a� a �Q❑t a ❑ 0 ° Q ,t0 � ❑ <br /> Field GTEL C Preserved }' C c ❑ W W l J J c) ° r ❑ <br /> Sample I Lab # Waw a � a � ❑ ❑ ❑ moo ry o <br /> ID (Lab use only) U � IoW - oo W � m � o <br /> : p ¢ rJ z "� Z �u a `� — a= p a a a a a a a a U a <br /> 4J 0. 0 = zz 2 U g g o i= m m S 2 O Iti W W W W W W W � W H W <br /> MW - 13 3: <br /> R? P� ?w - r 3. D <br /> ?W - 7 rya <br /> :5 <br /> hW- 11 GZ lo1> <br /> RMw — 17 <br /> TAT Special Hen ing SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 ho ❑ OTEL Contact ff�� <br /> Expedited(413 hr) ❑ Quotetcontract 1 ? v <br /> 7 Business 0sys ❑ Confirmation N <br /> Other PO 0 SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storape Location <br /> Business D!n ❑ <br /> OA 1 OC LEVEL <br /> BLUE❑ CLP❑ OTHERfit A PAX❑ Work Order M <br /> Relinquished mpl 11 ate Time Received by <br /> CUSTODY <br /> STODY Relinquish pate Time Received by <br /> RECORD Relinquished by: Date Time Eby Laboratory~— <br />