Laserfiche WebLink
r <br /> DARPETRO , INC. <br /> 3450 EL CAMINO AVE • CERES, CA 95307 <br /> FAX(209) 537-9039 • (209) 537-0771 <br />! <br /> CHAIN OF CUSTODY ANDANALYSIS REQUEST RECORD <br /> DATE: TURNAROUND: LAB DATE; <br /> STATION #cJ) l SEND RESULTS TO: ROGER LISTON PRESERVATION HANDLING: <br /> NAME: 7ZV 9 3950 ELCAKINO <br /> ADDRESS; ri aJc4lCERES, CA. 95307 STORED ON ICE UNDER 40 F. <br /> PHONE: 209-537-0771 <br /> FORM 66 <br /> SAMPLER NAME: C P.D. # <br /> SAMPLE ID, SAMPLE DATE: TIME: SAMPLE TYPE SIZE TEST FOR BTX & E TPH-6 <br /> 1 r <br /> e4/ r <br /> _C a <br /> 7-<;�3-9 <br /> i <br /> REL INOUISHEDg RECEIVED BY: <br /> SIGNATURE: ( 2� SIGNATURE; CG <br /> PRINTED: PRINTED; <br /> R COMPANY: COMPANY: <br /> DATE TIME:_ 71� DATE TIME: <br />! <br />