Laserfiche WebLink
i <br /> 500 Giuseppe Court,Suite 9 ' <br /> Excewhem Roseville,Ca 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REet EST <br /> Environmental Labs (916)773-3664 <br /> Project Manager Phone# TAT <br /> ANALYSIS REQUEST � e.� Z <br /> TON'! To,*A, q/b g S Z. `}II� <br /> W l=T c�1 <br /> Company/Address FAX# <br /> TOTAL(.-) x <br /> GEoGc1 X52- 4J 32 <br /> Protect Number P O# Protect Name co _ <br /> (� N W h n L Y <br /> 5 6/Do -D 6- �Z Jb75TA0i <br /> o 00 cvv <br /> Project Location Sampler Signature c'a � , ) °o 2 N L w w <br /> `� N $ U U <br /> S/ G•l �b/a ��F�n �� •i4� Q t6 S? � N N � N V Ll_ tZ <br /> m m 4 a U o N p ' w LEE <br /> Method U � .r "' M mm ° a o aNz � Umrn <br /> Container Matrix "` S M . o 0 0 o d � o '-9 a d o <br /> Samplingp H � 0 N N1n � Vr, � � m � _ N > oC) <br /> Sample Preserved _ <br /> N U a O `� m m T v in U } r- o N p w Q <br /> ID <br /> v a to <br /> w Ul m `D r m m T Ct o 0 4 a o N N z _ _ Lu <br /> > F= l O m ce <n co w m co ¢ = w Z <br /> DATE TIME w a cn w x � m m Li o U �- to a Q <br /> a p z r w Lu _ ¢ a a a a ¢ ¢ m ¢ a <br /> O n. i z w z O ~ ~ E>_ o o co a s Q a a u tz m m a Q w o x F- <br /> J to m w Lu w w w w Eu O st U Lu � U a: w m <br /> V&) 2- YA119c 16uo <br /> �F is/9c If 00 <br /> K X Y, <br /> •a do, +s S�Jz 4G a J X <br /> Ii�GJ •5 'f�2 9L 1}i � J �` X �` x <br /> Relinquished by Date Time Received by Remarks CQ LT-kA.,s -T3 cPZo2- <br /> Relinquished by Date Time RFee by <br /> Relinquished by Date Time Red by Laboratory I REIT To <br /> (oZ <br />