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Form 10620-5-PWO CC: LAB REQUEST BOOK - 42-51111 PRODUCT ECOLOGICAL ASSESSMENT BACK TO MAIN n n Name: a G d . 4 - REQUESTER h5- Phone No. Request Date: Project No.: Code No.:- d d B F oz, 7/M / 7 7 Prob. No. Sample Date: Date Needed: Description: LABORATORY Date Received Sample: Analyst: Date Completed: Hours Spent: Y B P Please Call Requester If Delays Are Encountered. BOD5 BOD, C!!timate Bioaswv -- Other OTHER Bioaccumulation Persistence Degradation Products I I 1 1 I I I I I I I I I I I I I = ALL RESULTS EXPRESSED 4s ot -- acs BACK T3O3M4A4IN _---- re Te a] Ma ; ENVIRONMENTAL LAB 3 A && SSSGN IS5G Rex Lr os(3940 pun 36s CZ a Z Tfeedasr wrrore5s6s3 || fRiemwsflmeesF TTTTo w[=Iwfor [=< [= fasl NiSc eegs wcoor r75e1|1 dasmweallifgmmllT [T T TawTlooTTewfae TTeafToem en-teo|] Teczor cor2 | lusosdtime|[|1T= Dn eolmaoelsncoclsoosmlymndmood SEC 214-20 cor7508| [Bm || | ae] [nameless room en] | [5a] Fea EE or 77fom 3 [pF oopTpe WBElpEe 33807 twoorare0 |Vaeelweles[T L ToT TeT TeTeT Ce1foa|l aleWelFeessord yaarr1a1Tbemel wd e +IT ITeT fT E e T eeT el Saleee s85o9m er--ug T|wbemeelte[TIT TT[ el e rr rp rT =wend orae | foesrs1T r L a r TFTFT ] B=S| re T aaromo T || F eres -aaowfieesddoeanend naus iocwoaf zee[ ] ar| eltcCoTpT u of RerjT usndoe| 5 7 S------ -- -- pt ee STeedse fp Pagueies | ||| "skcesday mb cackuratr e uss topve aul 11 pera TE