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_ MCN F COY f�D M � W <br /> M MROCMat" <br /> Client name Pr ect or POM Mew <br /> Analyses required <br /> / P , <br /> Add Phone N <br /> C ate ZIP Reportpontion <br /> .s <br /> Sampled by g ca. <br /> Lab Number ter° <br /> Sample Date Time Sae key e Of ,. � <br /> number sampled sampled below Sample description containers �� ��5 Remarks <br /> o S <br /> 2)I77GCl-S' 2 <br /> 2 r <br /> jos W- <br /> 1220 .1)177W-3 2 ✓ <br /> ITI -1 1 T <br /> r9na Print Name Company Date Time <br /> Relinquished by <br /> Rammed by <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by Laboratory <br /> VOC ANALYTICAL Note Samples are discarded 30 days after resulls are reported unless other arrangements are made *KEY A(—Aqueous NA—Nonaqueous SL—Sludge <br /> 0 1085 Shary Circle,Concord,CA 94518(510)825 3894 Hazardous samples will be returned to client or disposed of at client s expense GW—Groundwater SO—Sod PE—Petroleum <br /> 0 801 Western Avenue Glendale,CA 91201(818)247 5737 Disposal arrangements WW—Wastewater <br /> C) 1200 Gene Autry Way Anaheim CA 92805(714)978-0113 <br /> n 4411 S 40th Street Phoenix AZ 85040(602)470 9707 <br />