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se.^<br />

BATCH SUMMARY/CHAIN OF CUSTODY<br />

ANALYSIS Pu00 MATRIX 0 TtW±j DUE DATE y-6-cLk<br />

tip"( CS m wr<br />

WORK CRDER SEQUA a # amir COmmem<br />

J o 5 l b l -1B QC BATCH REA(EN M ANK<br />

J N 1n. -ix QCBATCHMAMUSAW<br />

J o 3 L 61 -imam<br />

(dale)<br />

J N 2M or 2S<br />

(drde)<br />

D o3ibt -Qt<br />

p^Tj 16101 ^' 1"<br />

go3 t8`{o2<br />

8o3 Zob oZ<br />

p3 22.Z02<br />

$03 Z'7 L0^<br />

Batched and QC updated by-^i ec on 3 Z5-%<br />

3•<br />

QC BATCH MATRDOMAGENT<br />

SPIIKE<br />

QC 13ATCH MA2RDORFAGENT SPM<br />

Duplicate of Sample # $A 3 -IN lb<br />

Rec'din Prep Lab by ^ on 3_ 19_4 Sop#RtCt Q-So13 Re,4 0<br />

? C<br />

Recd in Sep Lab by on 76 Sop# L' ^' C c yCJ<br />

7 !^^IZ ^7 =e<br />

/,'C S7v<br />

Recd in Sep lab by on Sop# Rn:<br />

PPTby<br />

v<br />

on-3 Sop# Zict^ t• 39 Rn= 1<br />

Recd in C.R by on 31 3>1 14 Sop# r hi poa7 r R ^^<br />

jptq-1- i--K<br />

Data Reviewed by on 11' Sop#__ SC yam- JL,^i J<br />

L<br />

O riginal batch sheet complete calculation file to be filed with the FIRST Lsted work order number.<br />

FORM NO.: RC-52, M8, Rev. 8<br />

2^ w = e a-Z I SA<br />

Gr S.v9 7 = i`kect<br />

— { —<br />

StH ^QAC ^, v.. ,S o^DRy cew.e...Tj ^o .— to Tel S-`/^^.^<br />

6145

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