Laserfiche WebLink
-.w, '' -we.n.ii.....-_.. '-.-. ti.a.s : �5....:...x...,......L....�.J-x.w.1....,.v.v..sxU.aa.T...wx.xnw.s.,.b ��.. F.e...::.w,r...,F Sa...v •,.rauh.r... -..., <br /> CHAIN OF CUSTODY RECORD -2dllDFlfo <br /> ERM-West, Inc. uo 23o <br /> 1777 Botelho Drive, Suite 260•Walnut Creek, CA• 94596. (510) 946-0455• PA)((510)946-9968 Page I of k <br /> PROJECT# PROJECT NAME <br /> LyMATRIX v REQUESTED PARAMETERS <br /> SAMPLER:(PRINT NAME) (SIGN RE <br /> RECEIVING.LABORATORY <br /> �o�c.� pn►,�,�.�Z��..1 Ser uI�e.g�,.,�,, � <br /> e— Col <br /> N <br /> w <br /> SAMPLE I.D. ':DATE TIME SAMPLING . SAMPLING vJ <br /> METHOD ¢� 9;� VOLUME._ <br /> ra -s�- 3 �`►�s ' A-� Na y 1701 A Sl� TO <br /> U s-In-ST-% 3 q 5a <br /> ?d I ��3 Y30 <br /> 41 A3 <br /> L4 <br /> u <br /> Ry,LIpQUlSFjF,D BY(SIGNATURE} DATE TIME R EIVE Y DATE TIME . FIELD REMARKS <br /> R 1 Q SH B SIGNATURE)' DA E TIME RECEIVC6.13Y DATE TIME. <br /> ELINOIUISHED BY SIGNATURE) OTE TIME RECEIVED BY DATE TIME ��M �RE Cr <br /> �4b <br /> :.:-:-:.-REMARKS ON SAMPLE.RECEIPT-.-,::..,..!:...-:: ,�';.:°:.: ERM,REMARKS SEND REPORT TO:CO tl 011 STg e,n, <br /> ❑ 90TTLE INTACT O CUSTODY SEALS ❑ CHILLED �1T-X�% <br /> 13PRESERVED 0 SEALS INTACT 0 SEE REMARKS 2 t �,ou r <br />