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AdvwftW.T-0ft6logyL <br />3275 Walnut Avenue <br />Signal MR, CA 90755 <br />Project Manager: Arianna Campuzano <br />74,46 LincolnWay <br />Garden Grove. CA 92841 - <br />PO#: SC15812-IVTAT <br />LWORTAM: Please include Work Order # and PO # in <br />Sampler, B. Lew your invoice. <br />OC' quirements: EDD Requirements: <br />[] Routine 0 RWQCB All Level IV samnle. containers fincludina It Standard Excel <br />0 <br />0 <br />0 <br />0 <br />0 <br />Syeckl Instructions., Perform MSMSD1LGMCWUP #"applicable <br />Alfalylft Due Earpilres <br />$ainpled Commeots <br />ATL Lab#: 2101513-01 SP -04A Water 06/03/2111:04 <br />7199 08/07/2117:00 06/04/2911:04 <br />[Hexavalent Chromium by Ion Chromatography] <br />Glass Jar - 32 oz <br />ATL Lab#: 2101513-02 SP -05A Water 06/03/2111:22 <br />------7499 — —,061"2L1L22--------- <br />[Hexavalent Chromium by Ion Chromatography] <br />Glass Jar - 32 oz <br />I -- <br />,by. �lt A, <br />P!nfff� <br />Sample Control Technician Date <br />Apprqved by: <br />AdawVo, L=pl0-11 orl (a 6 k <br />Dedicated ATL Project Mang <br />By ATL Sample Control Date Time <br />Weleased By Courier Date Time, <br />Insp <br />Sample Control Lead Date <br />7- <br />reir'By ourier Date Time <br />`7 z I7--! <br />ReceiQlVy Subcontract t Die Time <br />Laboratory <br />Released By Date Time Received By Date Time <br />Page 13 of 14 <br />12 <br />13 <br />14 <br />