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alscience Equipment Rental Form <br /> Exvironmental <br /> ® aboratories,Inc. <br /> Requestor:Stephen Nowak Date: 9/6/2012 Prepared By: 916/2012 Time Req.: 9:34 AM . <br /> (individual QC requires 48 hours advance notice) <br /> Analysis: TO-14A:❑ TO-15:EZ BTEX:❑ TPH: ❑ FG:❑ Naphathalene:❑ Other: <br /> Canisters: Flow Controllers: QC Qty Non QC Qty <br /> Canister 6L: Qty Canister 1L: Qty Flow Cont-24 hr.: TO-17 Sorbent Tube Qty <br /> Batch: Batch: 8 Flow Cant-12 hr.: Batch <br /> Individual: Individual: <br /> Flow Cont- 10 hr.: Individual Flow Cont-8hr.: Trip Blank <br /> SIM: SIM: Flow Cont-1hr.: <br /> Trip Blank: Trip Blank: Flow Cant-<200cc/min: <br /> Duplicate T/T Setup: Flow Cont-Adj.: <br /> Soil Gas Manifold: <br /> Notes: <br /> Delivery Method: Courier by: Client PIU on: Ship to Arrive by:9/1012012 AM: ❑ <br /> Project Name: (in case of shipment,address must <br /> be completed) Any Q <br /> Client: Oilfield Environmental and Compliance Ship to: Oilfield Environmental and Compliance(Dei <br /> Address: 307 Roemer Way Address: 307 Roemer Way <br /> Suite 300 Suite 300 <br /> Santa Maria, CA 93454-1105 Santa Maria, CA 93454-1105 <br /> Contact: Julius Carstens Contact: Meredith Sprister <br /> Phone#: 805-922-4772 Phone#: 805-922-4772 <br /> Equipment Information: <br /> ID EquipmentType QC Type VACout ID EquipmentType QC Type VACout <br /> LC564 . Summa Canister 1 L Individual -29.7 <br /> LC139 Summa Canister 1 L Individual -29.7 <br /> SLC105 Summa Canister 1 L Individual -29.6 <br /> LC527 Summa Canister 1L Individual -29.7 <br /> LC497 Summa Canister 1L Individual -29.7 <br /> LC551 Summa Canister 1L Individual -29.7 <br /> LC563 Summa Canister 1L Individual -29.7 <br /> LC316 Summa Canister 1L Individual -29.7 <br /> hw" 7440 Lincoln Way, Garden Grove,CA 92841-1427 TEL: (714) 895-5494 FAX: (714)894-7501 <br />