Laserfiche WebLink
Ulf <br /> ra r Inc. BEA €3N <br /> Wlremar CHAIN OF CUSTODY REPORT <br /> klBleaco:nStation No Sampler Print Name)Z ANALYSES �a ¢ F m No�� ,a... d of 5-ect No Sampler(Signature) <br /> Project Lo c Afhlia ion c 9 <br /> GQ.0( c� �G�,� ��r ro a o I , <br /> o.-8 U 9 (� <br /> X v o i <br /> Sample No/Identification Date Time Lab No m n- a_ o ` `lc <br /> Z E AR <br /> 2, 2114- 6535 <br /> 0141 <br /> KSD _ 3 -9 assS <br /> 3 - Idol f �� <br /> /04 _ _ 1 lot <br /> .- xS►3 - 3 - !i i0iz � Aja_ <br /> -3 <br /> /o z3 / 1 <br /> 1434- l <br /> Relinquished by (Signature/Affdiatron) 1Date Time Receiv r! by gn u e/Af r4alion) Date Time <br /> Relmqui hed by (Sig aturelA((ili tion)(Siy4D <br /> le Time Receiv d Si ur f(iliatio <br /> D le Time <br /> Re in r ft i naiur <br /> ti5 <br /> / Time R v d ga <br /> R <br /> n �va �Ti e <br /> j7 � <br /> Yh rft«, Bill to AMAR IN <br /> A 525 Wes[ Third Street <br /> 31fo A�, &, S. /ca Hanford, CA 93230 <br /> ,Q Attention _ �w. .Az <br /> Aw • G��r�a c� �ff:�d <br /> WI IITF Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br /> 32 8003W <br />