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Otheri_ .

- ./: •

(s) Sample Description__ Surface Water .... Mixed Media^ . - ' . . Ground Water __ Solids_«. Leachate ry^ Other (speciry) _

/

- .- -

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©Ship To:

TransferShip To:



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@ Analysis Labr^, 3,Ree'dhy: U>/^_ _f~ A^c

Tl^ff^ R^W"1 rt' C* " ^ '? r-

Sample Condition cOn Receipt (e.g., broken, :ice, Chain-of-Custody, etc.)

J-ATC-vCC

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1

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@ Sample Location


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