Laserfiche WebLink
4080 PIKE LANE., bUlIEC I.rrruir-v� -.....►�....� .,�....,.... <br /> r�T0 .l CONCORD, CA 94520 , AND ANALYSIS REQUEST y 4 L <br /> 510) 685-7852 , "'' , ,, Fit; <br /> -0® ROMMINTAt <br /> iA OINA10�14. INC. 800) 423-7143 <br /> VC <br /> Comp ny Na Phone# <br /> 7'(,� ❑ <br /> �T FAX# v I b ❑ m ❑ <br /> Company Address Site location ] 0 o <br /> El <br /> El <br /> Pcc <br /> ro act ager Client Project!D (#) o?-�S429f ❑ #0 _ ❑ <br /> ffdKA)eX- NAME AWMA pjp yAOy Cl A�`n 2 o ❑ 0 ❑ ❑ CO z O ❑ ❑ A <br /> I attest that the proper field sampling Sampler Name(Print) 0. o v ❑ ❑ o ❑ <br /> procedures were used during the collection � p s2 N ca a " c ° <br /> of these samples ""�' N� ❑ c m $ $ ❑ ❑ a a ° <br /> Method V a a ❑ V <br /> Matrix preserved Sampling ca ❑ ❑ w ❑ q © p ❑ <br /> Field GTEL ❑ _ m ° ❑ ❑ ❑ 0.. a ❑ N ❑ <br /> Sample Lab # ,z w a ¢ ' + t, , <br /> only) tg � aw w 'o <br /> ID (Lab use o y) O Q` a W W <br /> 'R < ¢ ¢ U z "ti _ �a a y >•. o ct a n a n� a a� a c) <br /> a y a O z x z o'�❑ i= m m z = O w w w w w w w uaJ Ian O <br /> rd <br /> /n <br /> w—y sem <br /> /�?v 2Z Iv <br /> Mw_ jr <br /> TAT r ectal Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) ❑ GTEL Conlad W/ Nv <br /> Expedited(48 hr) 1:1OuMo/Contract A <br /> 7 Business Nye ❑ C0n11rm8110n I , <br /> Other SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> POO <br /> 9utlnNt De ❑ I <br /> OA/QC LEVEL <br /> BLUE❑ CLP❑ OTHERFAX- Work Order N <br /> Rellnqul h d b 5ampier to Time Received by <br /> v <br /> CUSTODY RelinquIshid by. Date Time Received by <br /> RECORD Relinquished by, Date Time Recelved by boratory' t <br /> L I Waybill# <br />