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["Lab Testing Request",{"$nulls":20},"REPORT NUMBER (Lab Use)"]
[]
[]
[]
[{"$nulls":21},"Compliance Type",false]
[]
[{"$nulls":22},false]
["Organization:",null,null,"Address and Invoicing Address (if different)",{"$nulls":4},"ANALYSES REQUESTED (Print Test in Boxes)",{"$nulls":12},"TURNAROUND SERVICE"]
[{"$nulls":20},"Suspected Contaminated","REQUESTED (from official reception)"]
["Contact:"]
[]
["Email:",null,null,"Quote No.:",null,"Project Name:"]
[]
["Contract #",null,null,"P.O. No.:",null,"Additional Info:",{"$nulls":22},"`"]
[{"$nulls":21}," Specific Date:  "]
["* Sample Matrix Legend:  WW=Waste Water,  SW=Surface Water,  GW=Groundwater,  DW: Drinking Water,  KM=Chemicals, LS=Liquid Sludge, MS=Mud Samples, SS=Solid Sludge,  S=Soil,  Sed=Sediment, F=Filtrate, O = Oil"]
["Lab","Sample Identification (name and label)",null,null,"Batch #","Sample","Date Collected","Time","Indicate Test For Each Sample",{"$nulls":12},"Field",null,"# Bottles/","Field"]
["No:",{"$nulls":4},"Matrix *","mm-dd-yy","Collected","By Using A Check Mark In The Box Provided",{"$nulls":12},"pH","Temp.","Sample","Filtered (Y/N)"]
[{"v":1,"d":"01"}]
[{"$f":"A19+1","v":{"v":2,"d":"02"}}]
[{"$f":"A20+1","v":{"v":3,"d":"03"}}]
[{"v":4,"d":"04"}]
[{"v":5,"d":"05"}]
[{"v":6,"d":"06"}]
[{"v":7,"d":"07"}]
[{"v":8,"d":"08"}]
[{"v":9,"d":"09"}]
[10]
[11]
[12]
[13]
["SAMPLE SUBMISSION INFORMATION",{"$nulls":4},"SHIPPING INFORMATION",null,null,"REPORTING / INVOICING",{"$nulls":4},"SAMPLE RECEIVING INFORMATION (LABORATORY USE ONLY)"]
[null,"Sampled by:",null,"Submitted by:",null,"Client's Courier",null,"Invoice","Report by Fax",{"$nulls":4},"Received By (print)",{"$nulls":7},"Signature"]
["Print:",{"$nulls":4},"GTIS Courier",null,null,"Report by Email",{"$nulls":4},"Date Received (yy-mm-dd)",{"$nulls":7},"Time Received"]
["Sign:",{"$nulls":4},"Drop Off",null,"# of Pieces","Invoice by Email",{"$nulls":4},"Laboratory Prepared Bottles",{"$nulls":6},"Yes",null,"No"]
[{"$nulls":5},"GTIS (Pick-up)",null,null,"Invoice by Mail",{"$nulls":4},"Sample Temperature °C",{"$nulls":7},"Labeled by"]
[null,"Date (mm-dd-yy)/Time:",null,"Date (yy-mm-dd)/Time:"]
[{"$f":"IF(OR(W5=TRUE,W7=TRUE),IF(W5=TRUE,\"Performed by\",\"Executor\"),\"Select Classification\")","v":"Select Classification"},null,null,{"$f":"IF(OR(W5=TRUE,W7=TRUE),IF(W5=TRUE,\"Signatory (RChT)\",\"Supervisor Excluded Activities\"),\"Select Classification\")","v":"Select Classification"},null,{"$f":"IF(OR(W5=TRUE,W7=TRUE),IF(W5=TRUE,\"Approved by (RCh)\",\"Approver (Technical Manager)\"),\"Select Classification\")","v":"Select Classification"},null,null,"Comments",{"$nulls":12},"Page   ___________  of  ___________"]