Laserfiche WebLink
n•�` (►MAIN-VI--LUb I VU 1 Htt.VHU r <br /> .� . 4080 PIKE LANE, SUITE C <br /> ••� AND ANALYSIS REQUEST Z <br /> F•, CONCORD, CA 94520 , <br /> ' 510) 685-7852 �`�'r" ,„ s e • IT,IAL <br /> 1AS0 ATTo�1!N INC 800)) 423-7143Comp y��ame Phone M °� FAX N D , . , ❑ ❑ <br /> CompanyAddress <br /> site location G � ❑ ° ❑ ❑ Cl ❑ <br /> D 5 o ❑ � ❑ ❑ <br /> Pr ect aneger Client Project ID (n}QyD _ w ❑ <br /> e NAME M*,VA M 4tb' /N *10 0CNI ❑ 0 ❑ ° ❑ ❑ <br /> 1 attest that the proper field sampling Sampler Na a(Print} a o ❑ ❑ v p <br /> procedures were used during the collection Le � �a ❑ P c� y ❑ �• ❑ ❑ 13 <br /> of these samples �I��II�V�' A V a i� a a ❑ r. <br /> � Matrix PreseMetrod ved Sampling ❑ o g a 4 ❑ ❑ 8 ❑ p ❑ <br /> Field GTEL o ° ° <br /> Labs � u, �i � °° � � ❑ ❑ ❑ � °' ❑ � � � � J <br /> Sample ¢ o ti l'la w " cc p <br /> lD (Lab use Ol,ly} a d o _ d o w W yW� mQ 0. p a a s a s p a a s a a s <br /> 4 p , J (L U Z = O m MIX O 41 W W Lll W W W F- X11 <br /> Qtna0 = x <br /> M k) - 1 <br /> Mme- J <br /> K/ <br /> /ykl— ✓ <br /> MIV -- �t/ rA <br /> Mw_ .. <br /> TAT Special Handling SPECIAL DETECTION LIMITS REARMS <br /> Pdorfty(24 hr) ❑ GTEL Contact <br /> Expedited(46 hr) ❑ owlemmrect A <br /> 7 Business Days ❑ Confirmation N1 <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Locat n <br /> on,K PO N <br /> Business 06ye ❑ <br /> QA I OC LEVEL <br /> BLUE❑ CLP❑ OT ET FAX[] Work Order <br /> AIR19111nkdbympler ate Time Received by <br /> cusToDY at Time Received by <br /> RECORD Relinquished by Date Time Received by Laboratory r <br /> 9 ,•�h Wav ill <br />