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PAR ER TECHN LOGE; INC. CAN 4 CUs roDY REC RD , <br /> Analytical Laboratory Phone:(916)362-8947 C.O.C. No. 10817 <br /> FAK.(916.362-094.7_- Page:-. --_.of -,, _ r _ ._STAL Invoice Number: -- <br /> 3Fite Circle,#112..Sacramento,:CA.95827 __, ._. _ .._ . <br /> Company: ,! Phone: tANALYSIS REQUEST <br /> Project Manager: �. FAx:" 2.7�Z�tgt; REMARKS: Carr, t Z Sam lerame: <br /> Report Address: Billing Name&Address: <br /> if tvL� Q �1 L <br /> e} All None Some <br /> Project Name:J11Project/Job#: _ OK OK OK WET STLC <br /> f 1 Cooler Temp. °C <br /> Project Location: t' ROI: Sample Condition TCLP <br /> 1Lt 7\J p H <br /> Preservative TCLP Total <br /> Sam lin . Container Used Matrix TAT <br /> CD <br /> o r <br /> . w a <br /> c us c <br /> "' of N v <br /> to r <br /> 0 <br /> LO 00 z N <br /> U) <br /> a.� <br /> Orj 00 O U rn W) 0- �:. N <br /> O a `V v , <br /> Lf) O 6 W cc <br /> pI O S E 0 d fA V y p <br /> N 0 U U 0 cc a- O 4 O O O O y y N C <br /> Q m W a 4 = d m 0vi 00 Cn00 ON0 m V N <br /> O O Z. 0. r a <br /> 0. <br /> 00 <br /> Eww <br /> cLn U o z o L 1�- Fes- T a d ii 4 na ii o o rn U ¢ Q y 3 a <br /> NO. SAMPLE ID Date Time m Y z o m a o m m W u, w w ur W z o cr < < , cn _ <br /> 1 .r z <br /> 2 --'" p1 <br /> 3 OL, 3 � <br /> 4 <br /> 6 lU— <br /> --7 io, <br /> 8 lol a <br /> 9 <br /> 10 L- to Q <br /> el' i y Receivev / Relinguished by: Received by: <br /> Date: Time: Yf^ ]DateI6�/ 7 Time: 1/. 50 Date: Time: Date: Time: <br /> PLEASE READ REVERSE SIDE FOR TERMS AND,CONDITIONS <br />