REP33113

• Permit No: M1988112
• IBM Index Class Name: Report
• Doc Date: 5/19/1992
• Doc Name: SAMPLE ACKNOWLEDGMENT
• Media Type: D
• Archive: No

ACCQ-LABS RESEARCS~ INC.
4663 Table Mountain Drive - Golden, CO 80403 - [phone]
F 8387 Rev A
B A M P L E A C K N O W L E D G M E N T
** PAGE 2 **
LAB JOB NUMBER: 8918-42885-6
SAMPLE NIIMBER CRO88 REFERENCE
LAB JOB NUMBER: 8918-42885-6
Lab Sample Client Sample Name Date,Time
1 NO 1:M-9 WELL[BMG] 05/14/92,14:30
2 NO 2:R5-5[BMG] 05/14/92,15:00
3 NO 3:UPPER TAIL POND 05/14/92,15:15
4 NO 4:LOWER TAIL POND 05/14/92,15:30
5 NO 5:COLLECTION POND 05/14/92,15:45
6 NO 6: LEAK DETECT SYS 05/14/92,15:55