Laserfiche WebLink
R➢°i�1'IffY H]MlNrAI k:.14ulVou-I0 r- .t�s� ".r.. !'r "i i'{. ,;y�;l.r. I Ik �; '} r•�.�.�.�l,l�,.s'S•.'. .y„t r ce,� <br /> w stss. INC. (840) 423-7143 <br /> Company Nam Phone#: <br /> ❑ ❑ <br /> FAX#: ❑ f ❑ <br /> Company Address: Site location: ❑ <br /> `n ❑ ❑ ❑ ❑ ❑ ❑ <br /> y ❑ <br /> C', <br /> a t <br /> ProjSIVnager: Client Project 10. (# �(] ❑ # m + + 0 ❑ a <br /> V V s <br /> W ai t!1 N o } m <br /> '1 �J NAME 1 m o ❑ © ❑ D i i ❑ o ❑ <br /> I attest that the proper field sampling Sampl ame(P lma\q <br /> nt): �' ❑ m m _ ❑ ❑ 0 m fl <br /> procedures were used during the collection 3 G 0 ❑ ❑ p e a ^ a W <br /> of these samples. swvoA ❑ ❑ S — a o 0. C ❑ ❑ P <br /> m M t� ❑ ❑Method o <br /> Matrix Preserved Sampling 0 o tu a. 0. ❑ ❑ ❑ ❑ l <br /> Field GTEI.. ❑ z Cd ❑ W w Z6 J a- n ❑ ❑ <br /> Sample Lab # � T�Wow <br /> 9943u) <br /> � � � e � ❑ ❑ ❑ aoX � n � .s � � <br /> ID Lab use only) � W ; o � <br /> v z Au, ,=aa a = ma a a aaa cs a O x = x v oy o F m m x x 8 w Lu rc`ii °u} Uu u°7 u°I w }- tu o ci <br /> to I y3 b <br /> 3 <br /> 2 <br /> 7 � O <br /> hzC`+ L <br /> J <br /> Z <br /> TAT 5 clal Handling SPECIAUbETECTION LIMITS REMARKS <br /> i <br /> I' Priority(24 hr) ❑ GTEL Contact <br /> Expedited t4e hr) ❑ OuolelContract i <br /> 7 Buslneaa t)eye ❑ Confirmation A SPECIAL REPORTING' REQUIREMENTS Lab Use Only Lot# Storage Location: <br /> Other Confirmation <br /> Business Das ❑ <br /> QA l QC LEVEL <br /> BLUE❑ CLP❑ OTHE FAX❑ Work Order# <br /> Roll had y Sampler: daytelq <br /> Time Received by: , <br /> I <br /> C U STO DY Retlnquleha y: pate Time Received by: <br /> RECORD Relinquished by: Date Time Received by Labore ory: <br /> i!, waybill a ' <br />