Laserfiche WebLink
cknha, of Custody On-site Time Temp <br /> Prosect Name Off-site I`ime Temp <br /> B1 BU/G EN1 CO 1 ordahoa ��eo Sky conditions <br /> BP Lalsotatory Contiatt Nuinber Meteorological Events <br /> Dale " "' ' Requested Due Date(mm/dd/yy) Wind Speed Direction <br /> Send To BP/GEM Facility No Consultant/Contractor 3TfkP (� <br /> Lab Name �[ draw �,�, BP/GEM Facility Address Address 119V d4! IZ <br /> i.ab Address C y.GI Site ID No �f` g <br /> �i1 r irt. Site LaULong e-mail EDD L ` V <br /> California Global ID Consultant/Contractor Projeef No • <br /> Iab PM 4^40 fe BP/GEM PM Contact 49 h v Consultant/Contractor Tele/Fax 9 "ea <br /> fele/lax rj ,Z• �` Address rt 7 Consultant/Contractor 111M <br /> I.Is K n✓' <br /> Report Iype&QC Level J Invoice to Consultant/Contractor / (Circle one) <br /> 1311/6GM Account No fele/Fax 13P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Malsis <br /> IV <br /> -d <br /> � ` 1 <br /> Item Q „ cv x oo , Sample Point Lat/Long and <br /> Sample Description Time Laboratory No o Z o ,p <br /> No o a� 0 0 0000 (11 N x Comments <br /> o � ro ti o G O CJ F <br /> ua 3 Q z �D <br /> SL <br /> 3 <br /> 4 <br /> 5 <br /> 6 01 uR C JST D LS - <br /> 2 �Gy6� 1 QIrI � , � . . <br /> 9 <br /> 10 <br /> Sampler's Name ll Retro tusbe AIT n Date Time dBy/Airiliateon Da rime <br /> Sampler's Company .. j <br /> Shipment Date <br /> Shipment Method /► 57-4-04 <br /> Shipment Tracking No <br /> Spccial'Instructions <br /> Custody Seals Iii Place Yes No Temperature Blank Yes 14 No Cooler Temperature on Receipt "FIC Tnp Blank Yes No <br /> LABORATORY BP COC Rev 1 215102 <br />