Laserfiche WebLink
CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST rt.` <br /> PRQJECT UMB <br /> PROJECT <br /> CHECK ANALYSIS TYPE REQUESTED ' <br /> TYPE OF CONTAMINANT. r <br /> SAMPLERS:(SI rg) <br /> 40 <br /> FF� <br /> 0 <br /> MICROBIOLOGY <br /> SAMPLE I . �� '�� ., (List by leper) CHEMISTRY do � � �NUMBER see�� y�� �� ��� �� t' O see below (List.b leder) C�� `�, I - : •�"r <br /> CP V O� �� �. see.below <br /> REMARKS .; <br /> y n OC) + <br /> (�—( m Z rim " <br /> YTI <br /> IN <br /> O b. <br /> FI <br /> MICROBIOLOGY: <br /> A Standard Plate Count K Iron Bacteria CHEMISTRY: o o m .r�'r5r+ <br /> B Nutrient Enrichment Count (qualitative) AA Ammonium 'ry °` � <br /> L Sulfate Reducers LL Chloride n m ti <br /> (% Hydrocarbon Utilizers BB Nitrate MM Sodium a N �, ' ria <br /> D Chlorinated Solvent Utilizers M Nitrate Redt+ting Bacteria CC Nitrilew , <br /> E Single Component Organic Utilizers 0 A gee myceies NN Potassium W h �F�u <br /> DD Total Hardness QO Alkalinity N <br /> P Protista <br /> F Miffed Organic Utilizers Et; Calcium PP pH1Eh 42 01 <br /> G Special Substrate Utilizers FF Magnesium QQ Tolal Dissolved Solids <br /> H Total Coliforms R Fungi(Yeasts, molds) GG Total Iron <br /> S FIR Total Suspended Solids W <br /> € Cecal Coliforms HH Soluble Iron <br /> S Determinative Bacteriology II Sulfate SS Total Solids .y <br /> J Iron Bacteria(r�uautltallve) T Other TT COD Zvi, <br /> JJ Phosphate UU Dry WefghllMoisture Content > <br /> KK Manganese <br /> HELI_ SH 6 9 nese W Specific Gravity � <br /> O oAT�! ECc"rVEo BY: <br /> PROJECT M ?; <br /> TIME' ANA '� OFFICE' ,/I- <br /> l s� tf <br /> RELIN UiSHEt)BY: DAT RECEI TER115 AN4 CONDITIONS:This ducumem canlrlyles an a„Il,erltsd cat+act q <br /> Aft rOACIC lan.1MACI tw plocq,,d W ,r6r, POMMM IM work herein M%esled I N <br /> TIME: / nlneerioweyl,,,,M0n.ewaf inl�e Gn I'Tachn*IM Inc 9breWmaten CAM ala.Wrds set lath � <br /> 1. wo 0*be Praessed rnth Prpject rng,,ge,rP n 0A and aece0uret-saAvtgs nal ra 4o r'&j Ib fta YeQuremenis <br /> +�^Plbn a re3 <br /> PWg4AIT <br /> r <br /> 2� <br /> C <br />