Laserfiche WebLink
4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD 26894 <br /> [ <br /> 10"AL CONCORD, CA 94520 . AND ANALYSIS REQUEST oT� <br /> NV IQ 0 RM IN M01 <br /> 0) 685.7852 .�. r <br /> e iA 01MORIES.SNC. 423-7143 <br /> Cornoww Name, Phone#: <br /> (`�� � ❑ <br /> FAX N: ❑ ❑ <br /> CC <br /> pany Address: Site locktion• n QN r Q. z ❑ ❑ <br /> Project Manager: Client Project 10: (✓�b—LoZG3 6.7-No y 0 � y � + + � ❑ a ❑ A <br /> A 177E NAME +}}L t '1� 4)'$ C�'U�JIN� U - ❑ ❑ ❑ © z ❑ o ❑ cc <br /> N ,, 1 ❑ ❑ ❑ <br /> k attest that the proper fleld sampling Sempl r Name(Print): ❑ � ❑ ❑ E u <br /> ' 1 3CL' ❑ 7 —1 -Jv prL <br /> oa <br /> procedures were used during the collection m a a gn ?of these samples. o 130a x 13 rry <br /> Method © .1t" Matrix Sampling 9,Preserved a <br /> Field GTEL ❑ o W UQ �r <br /> D <br /> gc <br /> ❑ <br /> Sample Lab # ❑ CJ U ❑ Q <br /> ID (Lab use only) 3 W o o W ��W � " g �C d � � � � o o <br /> '� a o 1 OR � v z � W � �a a � T . p = mCi a � a a Q <br /> 3 rn R rn o_ O z r r U § oe 0 f= m m z z o f' w w w w w u°1 w <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Prlorlty(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ Quote/Contract N <br /> 7 Business Days ❑ Confirmation N <br /> Other PO r SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot # Storage Location: <br /> Bualness Des ❑ <br /> OA 1 CIC LEVEL <br /> BLUE❑ CLP❑ OTHER FAX❑ Work Order N <br /> Relinqui h d bt Sampler: It Tlma Received by: <br /> CUSTODY ho-linctulaRid b . Ili, Difte Time Aecelved by: <br /> IRECORD Aallnqulshed by: Date Time R by La4pratory: <br /> �j lr <br /> l ( r Wavblll N <br />