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aceAnalytical` <br /> 'it0w, c-A <br /> Report to: Email To: I l 1 12065 Lebanon Rd Q 1 Qi <br /> � -1`' I Mount Ju!iet,TN 311:: 1•�' •t <br /> '�da u �_CAMJ. ('trP.@ �j'�( A&I%f OOMWt J. Ccr/Y+ i Phone:615.758-5858 <br /> Phone:8 <br /> 1 1 00.767-58SS <br /> 4 <br /> PtOlvct City/State Please Circle: ! t Far:615-758.5859 :Y- <br /> Description:Nr►` III I Collected:ft�l I PT MT CT ET - - - <br /> Client Project If Lab ProjecTu SDG u t <br /> Phone: Doi 1 <br /> Fax: (°IYb_ '113- t1USg I1 -ZU--6&-% v,XL�(3cco 3� _I I I I 4 ITabIL <br /> Collected by(print): Stte/Facility ID p P.O.u 1 i <br /> 1" 1� 11 <br /> -coo <br /> Template: <br /> Collecte by(signature): —Rush? (lab MUST Be Notified) I Quote q i Q <br /> Same Day _Five Day tV 7I ! Prelogin: <br /> _Next Day _5 Day(Rad Only) Date Results Needed I I I PM <br /> Immedia _Two Day _10 Day(Rad Only) IJo. <br /> Packed on Ice N_ Y __Three Day _ _—— of PB <br /> ntrs N (Shipped Via: <br /> Depth Date <br /> Sample ID I Comp/Grab Matrix ' DI I Time --a— <br /> Ram As Sample 0(lab orly) <br /> -T� t <br /> S„ u- t (Grab S i ) zG ( +3ca { � 70 � � { �° ) <br /> -o <br /> I ! <br /> 1.. IJ+.. y .�.._I 1). _ .....�_.#.. ..L_.a.... <br /> Matrix: emarks* Vn S'CI.L tKov' Y 1 ( �tVt►�H <br /> iS-Soil AIR-Air F-Filter 1 //���� 1 Y l pH Temp_ _ _ � Sea j UrHytlnC/1rlLdct.: O�+t y _N <br /> ;W-Groundwater B-B!oassay �'{a� Cabl Avw {1(� �!�T rc4YLS COC Signed/A're InLa zy _N <br /> II 8o L'Clet�drri�e inLaCt: —N <br /> NW-WasteWater _.-_. ,c.y! Flow Other Correct- bottI a used: Lr —N <br /> )W-Drinking Water Samples returned via: 3 �K7 3ucliCliiu t volume tient: �P_N <br /> LI Aaolicable <br /> JT-Other —UPS _FedEx _Courier _ {Tracking q VOA sero aeada duet Y N <br /> Relinquish by:(Signature) Date: — Time: Receivejby:(Signature) — i Trip Blank Received: itreservation correct/Checked: -Y _N <br /> HCL MeoH RAD screen <o.b mR/h � <br /> r: Y _N <br /> � TBR - - <br /> Relinquished by, lgnatltre) �,. `' `C' Date: Time; by:(Signature) Temp: �eS Recelved: 7 K preservation required by Login:Gate/Time <br /> relinquished by: ignature) Date: Time: Received for lab by:(Signature) Date: Time: i Holo: Conditio <br /> i ' r NCF / <br /> Wit= i.r \i <br />