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� hn�te� � � I• G%in'WModr <br /> � -- � <br /> 5550 Moreh mre•San Diego,CA 92121 1709 DATE Cf PAOF <br /> PROJECT MANAGER mr Recommended Quantity and Preservative (Provide triple volume on QC Samples) <br /> COMPANY- "OWc�>•`I s' 8 8 <br /> ADDRESS ,/ 7. S' 8' S' S' <br /> 3Q 4 (�� ✓cJ f .1�' ,fir �V-I !� o 0 Q Q z = i z a, x o 0 <br /> ��11 ^ N <br /> Jao prL (� i� �� .� 0 0 0 o X xc v o u' 0 0 <br /> sr V --t N N N O X O O <br /> In <br /> BILL T0: N U <br /> aCMo^ <br /> COMPANY- _ o <br /> ADDRESS. y a in o � N <br /> C 0 = A w O y m m <br /> g� N 'rQ� e 0 0 o U o n 2AZ, `m <br /> O CO r O r� U C7 C <br /> �J 0 0 co !u = Q 2 - m � <br /> QJ E cD % gv N m = CL <br /> - amp V m 0 0 <br /> CL <br /> SAMPLERS (Signature) PHONE NUMBERm s s N �? ' z m a m <br /> - <br /> SAMPLE ID DATE TIME MATRIX LAB ID a o 6 o� 00 a v = p a m 0 > a V F z <br /> � Z- <br /> nei <br /> PROJECT INFORMATION SAMPLE MMpt RELINQUISHED BY. RELINQUISHED SY. 2. RELMUISIIED BY. I <br /> PROJECT NUMBER �� Q ,,� TOTAL NUMBER OF CONTAINERS 8 �- a Tim Signature Time <br /> PROJECT NAME (f_ lj , WIN OF CUSTODY SEALS YDS 1 /� 17`t <br /> PURCHASE ORDER NUMBER INTACT'? Ytl�llNA Pnn Name Date� Printed Name Date <br /> dZ � 14 r l ek- �� t+Gl{ <br /> VIA RECEIVED GOOD CQNDJCOLI] mpgy Company Company <br /> TAT ❑2aHR []48HRS ❑9 WK 2WKS LAB NUMBER ' �" f6 Alpbzo CcAcdtr^r`.0 <br /> RECEIVED EY: I. RECEIVED BY; 2, RECEIVED SY-,{LAB} 3. <br /> I SAMPLE SIDOSAL INSTRUCTIONS <br /> ❑ATI Disposal @$5 00 each ❑ Return ❑ Pickup(will call) TPty <br /> Time r _L�Time Signature Time <br /> Comments 4'� H <br /> me DattePr V e D to Pnnted Name Date <br /> wi I;,,4Tna-/Wi7f lS �iIStI 191 2. <br /> Com any pang Analytical Technologies, Inc <br /> A ,`.,.v L)e,dst1GTIH�S <br /> All LABORATORIES San DmV(619)458-9141 • Phoenix(602)438-1530 • Seattle(206)22&8335 DISiRIMITION White, Canary-ANALYTICAL TECHNOLOGIES,INC Rnk-ORIGINATOR __ I <br />