Laserfiche WebLink
CHAIN OF CUSTODY RECbRD <br /> SAMPLER (signature): <br /> j Applied GeoSystems <br /> Phone: Z — Z 43255 ti1msio n Blvd. Suite S Fremont. CA 9453 (415)651-1906 <br /> LABORATORY: SHIPPING INFORMATION : <br /> Shipper <br /> Address <br /> Date Shipped <br /> TURNAROUND TIME: -I8 �° " , Service Used <br /> Attention: A 'V,94,Fk / AirbiII No. Cooler No. <br /> Phone No. 116 �f r7- <br /> Reli ished by: (signatures) Received by:(signatures) Date/ Time <br /> 7iv��liz�—� ?S f to/d Z. 3U <br /> Received laboratory by: <br /> LABORATORY SHOULD SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESULTS <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> W.. o9zo — s x'7053- 1 -20 - &7 TEI/4BcTX, 7V)6/ -- jCTo /mac.) <br />