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r I VJGVl Tr. <br />Analysis <br />505-345-4107 <br />Request <br />Phone #: <( 211 / 32o- 3S810 <br />email or Fax#: Project Manager: <br />4. n o <br />t"(1G c0 <br />y <br />y <br />ca <br />a <br />❑ <br />+ <br />m <br />l— <br />+ <br />CO <br />y <br />O <br />- a <br />m <br />m <br />a <br />g <br />_ <br />a <br />06 <br />13 <br />t <br />2 <br />_ <br />a <br />EDB (Method 504.1) <br />8310 (PNA or PAH) <br />RCRA 8 Metals <br />Anions (F,CI,NO <br />8081 Pesticides / 8082 PCB's <br />8260B (VOA) <br />8270 (Semi -VOA) <br />Ol <br />�- '' f <br />Air Bubbles (Y or N) <br />QA/QC Package: P&io o Q' 5c1-%) roes •css" <br />Q C..tJ <br />X Standard ❑ Level 4 (Full Validation) <br />Accreditation Sampler: �tr <br />NELAP ❑ Other r <br />— <br />1D a 5L <br />Preservative' <br />Type <br />o-� m <br />+ <br />! m <br />I-- <br />}s + <br />�' � CO <br />❑ EDD (Type) <br />Date <br />Time <br />Matrix <br />Sample Request ID Container <br />Type and # <br />" if (tZ <br />1 D6t <br />L. <br />c;�o�. (, j ' °° <br />s L <br />"60) <br />Y <br />iit)FJiz <br />W�46 <br />1- <br />5LAS (.3G ;s", " — � x ° , <br />�e3°c�.oFt <br />�oQ� <br />X <br />Date: <br />I 1 <br />Time: <br />nquis ed b. Received by: Date Time Remarks: <br />s_ _ iri7J � l 1 i ! . il l 8))Z 1 It SS <br />Date. <br />i i iZ <br />Time: <br />Yl■ <br />Relinquished <br />'N .■ <br />by: Rece ; d by: ate Time <br />' Is (OD <br />n r . . fir %� <br />Client: <br />Chain -of- Custody Record <br />i ^V Eini(12enoci <br />Mailing Address: <br />0_$ tz Maw <br />Tum- Around Time: <br />Standard ❑ Rush <br />Project Name: <br />• <br />T ,nc. -�s• -- <br />x HALL ENVIRONMENTAL <br />ANALYSIS LABORATORY <br />4901 Hawkins NE - Albuquerque, NM 871 <br />K necessary, sl les submitted to Hall Environmental may be subcontracted er accred ra . This erves as notice piths possibility. Any sub - contracted data will be dearly notated on the analytical report. <br />