Laserfiche WebLink
CONCORD, CA 94520 �t►vuANALr3rO C0 1� o y <br /> At (510) 685 -7852 , y;r �' - �'' { <br /> off,W <br /> NC.iNC. (800 423-7143 �!r� f', .t v'i 4lfAi4i <br /> omy Nnme Phone N T <br /> ;i ' t ` FAX# ❑ ❑ <br /> rf.. ddrW; �^ Set cation � 8 ❑ © ❑ ❑ ❑ 2 ❑ <br /> p <br /> NJ <br /> s sr}.q rChant PtoJect iD (#) X32$ t Ua ° 3 � N o <br /> NAME p <br /> ii�ttA proper bold sampling Sa pler Name(Print) ; a o a ❑ ❑ o ❑ ❑ <br /> rgbe prop wsrp Ues tiuring the collection N o o m ❑ d © ❑ o a ❑ © a <br /> ihsesa s �y <br /> Methodlin Sam m a Q m o ❑ > to 1 <br /> _ Matrix 11 0 <br /> Preserved Sampling x L % ❑ o w w Ed ❑ ❑ A <br /> • Fled¢ GTEL <br /> i Safflpie Lab # c � a '' R § g 8 N � o o <br /> �� ` (Lab use only) 8 °o d o Y +� j 3 m a a a a a a <br /> c�iauJiao _ o o co Co i s o u9 w ►au w w w w w w r w v <br /> YAM^ <br /> r; , <br /> 3 x <br /> y 4,4 <br /> V 'r, <br /> ' `' <br /> ,� 5 <br /> } 4 TAT Special Handling SPECIAL DETECTION LIMITS R MARKS <br /> PrWty{24 hr} ❑ GTEQuot Contact C. <br /> v 1 0 s � J y2} `` <br /> ExprrdMM[48 hr} ❑ QuotalContract N qj&r ��! , <br /> T Buslnns bays ❑ Conlfrmatfon R <br /> SPECIAL REPORTING REQUIREMENTS Loh D <br /> UserOnlyN Storage Location <br /> OtMr D ❑ OA!QC LEVEL r � OC <br /> 9LUr;❑ CLP❑ 0THVA FAX 0 Work Order# <br /> R l uis d by Sa pler #24e <br /> Time Roca <br /> r <br /> 30 <br /> Time oc <br /> C, ,SIODy 7olinquish <br /> a by <br /> e-7 <br /> /y <br /> RECORDDate Time Received by Laboratory <br /> way �1# <br /> Aw 7N1 <br />