Laserfiche WebLink
• b?" <br /> CHAIN OF CUSTODY No.Q 8 2 6 7 9 Page-AZof� <br /> CONSULTAN ' ME ` - ADDRESS I CITY STATE ZIP CODE <br /> is TD I ti'�Q3 rvh S s -"-1 <br /> BP SITE NUMBER BP CORNER DDFtESSrCI Y CONSULTANT PROJECT BER <br /> r CA-0 Ca —)3b — <br /> NT PROJECT MANAGER PHONE NUMBER FAX NUM(B�`ER CONSULTANT CONTRACT NUMBER <br /> :7 -- <br /> I <br /> BP CONTACT ` SP ADDRESS I PHO NUMBER FAX NO. '76) <br /> C 0 D 0� t�f <br /> LAB CONTACT LABORATORY ADDRESS PHONE NUMBER FAX NO. <br /> SAMPLED BY(Please P t Name) SAMPLED (Signature) SHIPMENT DATE SHIPM{E—NT M THOD <br /> TAT: 24 Hours 0 48 Hours 1 k Standard 2 Weeks Q t- ALYSIS REQUIRED AIRBILL NUMB(R <br /> AA I <br /> COLLECTION CONTAINERS PRESERVATIVE + _ <br /> SAMPLE DESCRIPTION DATE MATRIX <br /> SOILCOMMENTSWATER TYPE LAB [� <br /> COLLECTION NO. 1.— <br /> TIME (VOL. SAMPLE# <br /> 11 W <br /> � t <br /> Y l <br /> c7 l <br /> ADDITION COMMENTS <br /> RELINQUISHED BY 1 AFFILIAT N DATE TIME ACCEPTED BY!AFFILIATION DATE TIME L/ <br /> G ' <br /> VL4 v�,7-7� 1666 <br /> (IV Distribution: Whito-Original (will)Dala) Pink-Lab <br /> t-Knit'° Yollow-f11' Mite-Cnn sullanl Field Slaff <br />