Laserfiche WebLink
4080• Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY FIECORD <br /> JIGTELD <br /> Concord, CA 94520 800.544-342.2(In CA) AND ANALYSIS REQUEST 72' 14165 <br /> t_ `"""OVAtt0VIf51110C 415885.7852 800.423-7143(Outside CA) ANALYSIS REQUEST <br /> Project Manager, phone#; ❑ ❑ ❑ <br /> —SLvFf��7G��2. � � o ❑ <br /> FAX #: m Q 1� a ro 13 <br /> dress: Site location: to u ❑ <br /> r W tr)O ❑ t] ° ❑ ❑ A ❑ 0 # <br /> 1Yar {r.1 c�r� L'✓. SULRGN�1 Wto �GC,`<-L��� m a ° s yr 1n a x = <br /> ProjrcI Number, Project Name: " vi o ° + + o> u <br /> rN ❑ a m N rn ❑ p �_ <br /> t72l3'Lc� i Z S 1 13 P LlilRwclGrti, 3 too ❑ �y Q o a z z tl T Y $ ° <br /> I allest that the proper field sampling Sampler Name(Print): w m m " a ❑ o <br /> procedures were used during the collection L ❑ o m N " 2 m < �' U c S <br /> of Ihese samples. S} 4: v d t��'�.�Y°�k- 0 N 0 U 4 'a ❑ ❑ ❑ ° ❑ ❑ a o <br /> -- v7 — - o (� m = 0 0 0 0 0 a N 0 U- Z n >' <br /> Field Source GTEL K Metrix Method Sampling m , ; E o 0 0 - N N „ ❑ a° ❑ a a <br /> Sample of Lab # z Preserved ❑ i� A a w �, ❑ „, ❑ ` y y <br /> ID Sample (tab use R w N x -6 ° ❑ ❑ ❑ ❑ ❑ ❑ m .o $ m sa n <br /> only) Z 0 Cr n ° w w co p' n p a O o 0 0 nal " ii - ti y ^� v y N <br /> d U a o w 0 O w w x a 0 w to (o co co m 0 4 o O 0 a a a <br /> X to w = < w m � a a a a a a ► a 1 � .� iu <br /> k O rJn ~O 2 = V O F d 1- F- o, o g p a a a a a a a U a L 4 0 L, � <br /> - z 0 d F- m m h a F- ►- wu w w w w w w f w - U U v v <br /> _ -- - - - - - - - - - - - - - EPa E E <br /> L i= P i= <br /> H— - — — - - - - -- - - - --3;00idol <br /> X <br /> SPECIAL_HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS ❑ n <br /> E <br /> EXPEDITN 48 Hours ❑ `9 <br /> SEVEN DAYS n a <br /> OTHER (#) BUSINESS DAYSLa t t <br /> QA/QC CLP Level❑ Blue Level 113 SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location a Q <br /> FAX ❑ (Specify) Lot#: Work Order#: c c <br /> m m m <br /> rr a rr r <br />