Laserfiche WebLink
MATRIX MATRIX ENVIRONMENTAL LABORATORIES (916) 635-3962 FAX (916) 635-9331 C U C.-LOG-IN <br /> CHAIN OF CUSTODY NO M' <br /> PROJECT I D �J` ��� � ANALYSIS <br /> — w O" <br /> PAGE CLIENT CHAIN OF CUS ODY# 09 o I <br /> OF O Z o�c� X02 <br /> 0 � <br /> LAB I D # SAMPLE I D DATE TIME , o � <br /> MATRIX <br /> SAMPLED SAMPLED <br /> TA fJ 6 RK W $ 3�°9 d� f d(i COMMENTS <br /> ,'zo 6 9z <br /> Lo G 16 130 <br /> �2Q 7 0 w- G 2 30 >( <br /> D97o Y .30 y X y a <br /> y X <br /> t Zmw- �s" �� X 2,c II <br /> Tteilnquished by (signotuxe) Date/Time Received by (Signature) <br /> Special InStTUCtI011S <br /> Relinquished by (Slgnahue) Date/Time Recely iby ignature) <br /> Relinquishe y Date/TiRe ed for La tory by (Signature) <br />