Document b5Exz36RK7JDJmzbK4mjYy8J3
CONSUMES*ANALYTICAL LABORATORIES
OUio 43060 614 -066-6361
LABORATORY REPORT
Lo6oro`o>y No._________________
.
Inspector _______II* L* J.U;r^.Y/07
Jnsp. Sample No.E197R3.. ____ ,. Invoice dot* _
Dot* Sampled__^ Received - C' Reported__ -Z2-1L
Delivered by , .jluri;*----------------- Invoice omount
Analyst__
Supervisor -____ ____ _
Sample Description ___ MJ.il' Tit II:
*)----------------------------------------
CodeType of Container------------------- --------------------- ---------------------
Not Contents (claim ------------------- )
Found________ _.
Drained Weight___________________
Found --------------.----------------- ----------- .
CRo-.-ical AealiAuj
i'cv.i.cl 12. Airm (f.S.) TC2 * (calculated cii Arocltr 1254)
T
r-j
A. 37.
Consumer ( > Amount of Somple.
OFFICE MEMORANDA
Routine ( )
Competitor ( )
Manufacturer or Pa*er -
Servico ( )
gowned From.-- WMman hr Dealer location of PutchDM0---------------
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Record No.__
Distributor's Name .. Lot Consisted of--(-*
HUNS 009682 dim l*)