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1.02g6 VO '-191EANV AITOIV210E[VI IVDI,LA1VNV TILSVD 0817Z .0N ele31.4!Pa0 -o <br />0 <br />0 Acioisno JO NIVI-10 IReceived by: Fklinquished by: IReceived by: IIReceived by: /—_ Relinquishedrby: ( 117.d.in Signature If Lab MO I Sampler Printed: ISampler Signature: I Report Attention: Ce/11 3 — rActLe Project# / PO# / Global ID: IPhone / Email: I City/State/ZIP: ca<ctt4 -e...._ I Address: / t-) -3- S-1-- Customer: D -...) <br />f\I -..., <br />w _ <br />N <br />c"...- SAMPLE ID 1 <br />v. <br />9 ..../ <br />bow. 1 <br />NI DATE N <br />ilia. <br />,463 <br />-tl— <br />-c--- <br />N3 <br />\-7 <br />1- <br />-iN -T- <br />e` TIME DESCRIPTION/LOCATION ra) <br />Z.•...; <br />P <br />e) v Printed Name SAMPLE TYPE <br />composite(c) discrete/grab(d) <br />-•-• <br />Z' <br />q-) <br />?3 <br />' <br />f•3 <br />0 <br />ID <br />SAMPLE MATRIX <br />soil(s) liquid(I) vapor(v) other (o) <br />BTEX/MTBE/TPH-GAS 8021/8015 REQUESTED ANALYSES <br />TpH-DiEsa / MOTOR OIL - 8015B <br />TRPH 418.1M / SM5520C & F <br />I <br />-Y0 <br />-4-- <br />riN Company Name Oxy's / EDB / DCA by 8260 <br />8260 Volatiles- full list <br />1<. <br />PCBs - 8082 <br />Electronic Deliverables (EDF) Turn Around Time1/4, 24 Hour 48 Hour I I 3 Day I 1 5 Day (Normal) I I Special: [ NUMBER OF CONTAINERS otai number or containers submitted to the laboratory OBSERVATIONS/REMARKS Notes: Method of Shipment: