Laserfiche WebLink
.�"�� 4080 PIKE LANE, SUITE C (;HAIN-ur-[.ub r vu r M�c.uttu <br /> AND ANALYSIS REQUEST 25943 <br /> �.�. 1MML CONCORD, CA 94520 <br /> ,� 510 685-78524, <br /> "ASOSAiO�112 INC 18001423-7143 ' ' 714 ,40 <br /> a <br /> WI- M10- <br /> Comp y Na a Phone N 13 <br /> T r <br /> &Tr FAX s ' ' ' x ❑ CI <br />; Company Address Site <br /> location a4 <br /> d ❑ o ❑ <br /> 0 <br /> _ Y ❑ ❑ <br /> Client Pro ect ID N d — W Y d m <br />' Pr act anager � ( ) � � � <br /> �e Cy cc <br /> NAME MhW /V �/ /�� � 2 a ❑ o ❑ 0 d o ❑ > ❑ ❑ ❑ ❑ <br /> I attest that the proper field sampling Sampler Nape(Print) % # a o a ❑ ❑ o U <br /> procedures were used during the collection Aec*x �Na a c� N ❑ "' 0 ❑ a ❑ a ❑of t ese sam les ❑ c a a ❑ <br /> Method m v CA a a ❑ o ❑ <br /> ❑ <br /> Matrix Sampling 0 � ❑ � ❑ ❑ � � ❑ <br /> Field GTEL c Preserved ❑ i p ❑ ❑ 13 11 0 a $ ❑ ❑ <br /> sample Lab # <br /> ID (Lab USB Only) cc <br /> 13 11 ❑ ❑ <br /> W w <br /> c` J J z 53 rQn m a O x x U o F m m = i o u�i w w u°`! u°i uo7 ua3 u°3 uai uaf <br /> Mk) — <br /> Mk,- v <br /> rv` <br /> Mw ✓ <br /> W-� J <br /> M 1V -- lv <br /> /bw— <br /> u4 <br /> TAT Special Handling SPECIAL DETECTION LIMITS RF�6S A Are <br /> U <br /> N/T/ <br /> Priorlty 124 fir) ❑ GTEL Contact <br /> Expedited(4e hr) ❑ ouotslContract <br /> 7 Business Days ❑ CorrArmatlon N <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot M Storage Locat n <br /> plher Po A <br /> B"ness De ❑ <br /> OA I OC LEVEL <br /> BLUE❑ CLP❑ Uled <br /> FAX 0 Work Order# <br /> mpler ate Time , Received by <br /> CUSTODY et Time Received by <br /> RECORD Relinquished by Date Time Received by Laboratory <br /> ;.' <br />