Laserfiche WebLink
S <br /> ' ti,.-__.-.�.�.�..... .....-.:.n• ....oma.....-�,�-.....__.., <br /> CANONIE ENVIRONMENTAL CF'M- N- ?F-CUSTODY RECORD LAB PROJECT <br /> (,,qee reverse for tructions) NO _ <br /> PROJECT NAMEI�I � ! SAMPLERSO)' 'Vi SAMPLE CONTAINER SAMPLE DESCRIPTION CODES TAT CODES <br /> 9S CL _ - DESCRIPTION CODES a G—W Ovate, F.Ua <br /> PROJECT NUMBER _ R.4o-rM VOA vu: S.Surtsx WBId G.Wc1e t.SUMard <br /> B.Man Une E.chess Tuan C.Le.0 Mte H, e4U%jsP k@ 2.46 Hour <br /> RECORDER C.Ft=iC scan» F.Omar D.Fl n to i.om&r 3 24 Hpur <br /> ( � D. -A$f�C LEW E.SeNSa6rr em 4.Qt?+er <br /> NttraeEA OFANALYSIS REOUESTED LABORATORY USE ONLY <br /> -'I - CONTANERS <br /> ERWOM a <br /> g g z <br /> �t iSy � SAMPLE <br /> NOTES AS CONDITION 6� <br /> 5$E _g $ <br /> DATE TIME PLE ID �n § _ - a � BOTTLE UPON <br /> NUMBERS RECEIPT NOTES <br /> fa � gra ( �sss <br /> /D t7 <br /> o /O Z ! F Y 5S7 I3 <br /> /a /a —S—0-7 <br /> 3• 1 <br /> o eta -E �Z3 r Hssv <br /> TjtTV <br /> �. <br /> 1 <br /> t <br /> NOTES/MISCELLANEOUS <br /> 73 /�{ pvlq/yzed r a;--X Relinq ' b :(Si nalur f v :(Si el P� Time <br /> FFo.zor.�4� /-v1��P-� <br /> f�t-fk¢� �+1 (iwtJ 4A Neel 7R1`- � e' quis ed :(Sig ature) �R�YdMy-(Signature) Date Timepf traJaw <br /> in hed 9 Received By.(Signature) Dat T me n <br /> Q r��/ �D! ,2�;,d ,� fe. . �� 'G. �_ /car ofr 1� <br /> `Method of Shipment : Descriptimi of Other Chains-Of-Custody Dispatched By:(S ate Time Received for iab By:(Sienatwet) Dale <br /> Time <br /> 4iX Transport Container Transported With this - - <br /> Chain(by Serial No.) Lzz� Idl <br /> Send Lab Results td.(Name) Srx {Check Qtfict? Below) Verbals Requested: Yes ❑ No ❑ <br /> D'.PORTER L SAN MATEO ❑ IRVINE ❑ ORLANDO ❑ OTHER f1ti <br /> TEL 1219)926-3651 j TEL(415)573.8072 TEL(714)757-1755TEL(407)tS56 7428 TEL IA <br /> FAX`(219)926-7169 FAX 73 56 <br /> (415)551 FAX(714)757960 FAX(407)855.2595 FAX _ <br /> ❑ DENVER- ❑ KING OF PRUSSIA ❑ HOUSTON ❑ MT.VIEW © OTHER der. <br /> TEL(303)79011747 TEL(255)337.2551 3EL(713)556.1666 <br /> TEL(415)460 7640 TEL <br /> FAX(307)799-0186 .: FAX(215)33741560 FAX(713)556.06159 <br /> FAX(415)9604)739 FAX ' <br /> 5NONIE ENVIRONMENTAL LABORATORY•212 FRANK Vlrc'a`T CIRCLE,SUITE A•STOCKTON, CA 95206 •TEL.(209)983-1340• FAX(k09)983-0 3G4 <br /> . <br /> SERIAL NO, n 7 5 4-? , wwne:E ra Cour YELLOW:rrt,A,ti GM PIPM.Laeerlloq Copt, — <br /> i <br /> i <br /> I <br /> I <br /> i <br /> I <br />