Laserfiche WebLink
SSOCIATED LABORATORIES i � <br /> 806 N Batavia -Orange, CA 92868 <br /> ~f 1 4 CHAIN OF CUSTODY REC D <br /> (714) 771-6900 o Fax (714) 538-1209 Date Page of <br /> CLIENT <br /> ADDRESS 6�s e e r I ac ICZPROJECT MANAGER \ �QZZQLLA Samples Intact Yes '?�-No <br /> PHONE NUMBERrr1 County Seals intact Yes <br /> No <br /> bbU P>, iRfo Sample Ambient—Cooled DS Frozen <br /> PROJECT NAME SAMPLERS (Signature) Same Day 24 Hr <br /> CJ4 L FIZA S/A l� Regular 48 Hr <br /> SAMPLE LOCATION A PLE TYPE NO OF SUSP TESTS <br /> NUMBER DESCRIPTION DATE TIME WATER AER SOLID CNTNRS CONTAM REQUIRED <br /> NnPM*9 Df �� 15, <br /> -Mop MW-11 1Q �# U I 15 a h <br /> 14OPMw-1 b a 1 1.50 <br /> MCI W' 615 01117-..o� <br /> QFM -z-0 6 a 12 20 <br /> 601ol 11. 10 <br /> 5lfuPuM- [ 5 0[ 1�•� <br /> R linquished by (Sig ature) Received by (Signature) Date/Time I hereby autorize the performance of the above <br /> , i iL (L 8A/�t� �� 06�}0 71Cf indicated work <br /> rnquish by (Si nature) Received by Laboratory or analysis Date/Time <br /> (Signature) <br /> Special Instructions <br /> EPA � �� rn� � C bU. Nfl�0 .� r r1 p STRIBUTI White report Yellow to AL, <br /> DU !.b UV Pink to Courier <br />