Laserfiche WebLink
j ENVIRONMENTAL Weekly <br /> CHAIN OF CUSTODY <br /> IILI,IIII Laboratory Copy (I of 3) <br /> 11111 1 �__ 3W07:04705120M TFSf pESCRIPrION - Sec Reverse side fnr Conniver,Pre9crvative and Sem lin ioformalioa <br /> 7,": <br /> We[]Int. <br /> (Agbi MID 0 Ste <br /> Charter Way <br /> ,CA 95205 r� <br /> e <br /> -7676 rax: (219)462-5597 <br /> Mike Clark : w� <br /> v w U <br /> Project Name: <br /> Purchase Order Number: H wy <br /> \ a <br /> ►nrler(a) 2�►� <br /> I R � <br /> I o w z <br /> y O ALJ <br /> Camrom0r Scrap Dale:_1_l Timc_1 'a 7 0 r <br /> 0 7 0 <br /> Lab Number. $TK 1 <br /> r4 1-23x3 0 � o `r ... <br /> > P Dare Time e d - <br /> z, N L.optien Descrirlion U.. <br /> w um Sampled Sampled F H <br /> e1 <br /> r— <br /> .y <br /> Y <br /> Y. <br /> N <br /> N <br /> N <br /> O <br /> (i <br /> caemarkt:�/O I %ML St- Relinquished"1 n4u Date: Time: Relinquished Dale: Time: Relpuished <br /> AveGiti 5/11/��1:30 ,. <br /> 1 Date Time: <br /> ka celved By: Dale: Time: Received BY: Date. Time: ved BY' are Zme. <br /> o � I <br /> ti Cor ale OfI1c 6 L b ro <br /> N p O.Bos 272/953 Corporation greet Mee 6 Laboraton Flel�tl -4 <br /> p Santa Paala.CA 93061,0272 2500 Slaf) c. ROatl Offer <br /> TEL- (W5)3922000 9locaton,CA 95215 vaelia,C81,10rnia <br /> PAX (805)525.4172 TEL (209)9420181 TEL (559)7349473 <br /> FAX (209)9120423 x.1011 R Mill 73).2399 <br /> FAX:(559)734-9435 <br />