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r <br />ADVANCED0401-014 <br />`TECHNOLOGY <br />L A 3 0 K A T 0 R! I S <br />SUBCONTRACT ORDER <br />Work Order: 2101347 <br />SENDING LABORATORY: RECEIVING LABORATORY: <br />Advanced Technology Laboratories <br />3275 Walnut Avenue <br />Signal Hill, CA 90755 <br />Phone: 562.989.4045 <br />Fax: 562.989.6348 <br />Project Manager: Arianna Campuzano <br />Sampler: B. Lew <br />QC Requirements: <br />Aquatic Testing Lab <br />4350 Transport St 4107 <br />Ventura, CA 93003 <br />Phone :(805) 650-0546 <br />Fax: (805) 650-0756 <br />PO#: PO 1528 1 -Standard TAT <br />IMPORTANT: Please include Work Order # and PO # in <br />your invoice. <br />EDD Requirements: <br />❑ Routine <br />❑ RWQCB <br />* All Level IV sample containers (including <br />❑ Standard Excel <br />❑ Caltrans <br />Level IV* <br />empty ones) must be returned to ATL 30 days <br />❑ Geotracker EDF <br />❑ Legal <br />❑ Other: <br />after receipt. <br />❑ Other: <br />Special Instructions: Perform MSIMSDIMSIMS/D UP if applicable <br />Analysis Due Expires Sampled Comments <br />ATL Lab#: 2101347-01 / SP -04B Water 06/03/2111:04 <br />Bioassay_Title22_SUB 06/24/2117:00 06/03/2211:04 <br />[Bioassay (Title 22)] <br />1 -Amber Unpres - 500mL <br />ATL Lab#: 2101347-02 / SP -05B Water 06/03/21 11:22 <br />Bioassay_Title22_SUB 06/24/2117:00 06/03/2211:22 <br />[Bioassay (Title 22)] <br />1 -Amber Unpres - 500mL <br />Prepared by: <br />Sample Control Technician Date <br />Apprc/ved by: <br />72�� l CD (I10-1 z l <br />dedicated AT roject Mana er Date <br />Released By ATL Sample Control Date Time <br />GLS <br />Released By Courier Date Time <br />Released By Date Time <br />Inspecte ,,-- <br />Sample Control Lead Date <br />6 LS <br />Received By Courier Date Time <br />Jyl��4� 6 / l,' i I ogni <br />ReceivgdBy Subcontrg Date Time <br />Laboratory <br />Received By Date Time <br />Page 25 of 33 <br />C: (Program Files (z86)1PromiumlElementlPrintlsco ATL(A.7).rpt Page 1 of 2 <br />