Laserfiche WebLink
NALYTICAL 720 Olive Drive,Suite D Lab:916.297.4800 <br /> 111 <br /> LLC Davis,CA 95616 Fax:916.297.4808 Page J of <br /> Prv' t Manager: Phone No.: <br /> 9'1 _ -of-Custody Record and Analysis Request <br /> 939_ 2_170 Chain <br /> Com aHyl dress: FAX No.: <br /> � For Lab <br /> W,/) 8.1 If- — Z17L Analysis Request Use Only <br /> Project Num er: P.O. No.: Project Name GOV euro! vuE.T(x) <br /> 3ooJ • r � <br /> Project Location: Sa pier nature: TOTAL(X) Je <br /> N <br /> �r G o <br /> C1! o y t <br /> Container Method 2 <br /> Samplin (Type/Amount) Preserved Matrix ix Cy a00 <br /> Z <br /> n O m C <br /> 7 a w <br /> m N N <br /> N <br /> (0 a o o Q o 0 o T civ a. <br /> Sample qVI) <br /> � �, W Lu X a. <br /> LLJ co V <br /> E <br /> Designation Date Time J _ i m CL w w w w w U <br /> S - S — G P 1�9 f>>5 l 5 ✓ — ? 1 <br /> S - <br /> /0 G P 5 <br /> s-JS � GPlo #f 1 5, V <br /> S <br /> —Z-0 - p );!V0 r <br /> s - ZZS - I' r 5 <br /> P 7 VS ✓ - 2 <br /> S - GP 7i:►S r V S - 77 <br /> ✓ . 2 <br /> S- 2.0 -GP7 '4s 1 15 <br /> 5--- - P z-vo 1-51 ,I J _ o <br /> R inqui d by: Date Time Received by: / 9 Remarks. <br /> 1 <br /> eILA ish y:v I Da Email address: <br /> ❑.doc ❑.xis ❑.txt ❑other <br /> Relinquished by: r Date Time Rec ed by Laboratory,; Bill to: <br /> 2; <br /> Distribution; Whi •Lab. Yellow-File,Pink•Originator COC,lh5 <br />