Laserfiche WebLink
6602 Owens Drive,Suite 100 <br /> Pleasanton, CA 94588 CHAIN OF CUSTODY FORM <br /> Main Line: (925)460-5300 <br /> 6 8 0 C I A T E & 4 N C Facsimile: (925)463-2559 Turnaround J<10 day _3 day _2-8 hr <br /> Project Name: Q,-,!C s6e l 3.�L-_ Client: (���j�S y,�as���s �q Time: 47 day _2 day —other <br /> Project Number: T piS4� .'3e Task: c�fo� l (working days) r 5 day 24 hr ( ) <br /> Global I.D.: 7C6 60 Z 7Csv &,Ig <br /> Project Address: <br /> Laboratory: "5 � <br /> Contact: tog s-s'��;..ae Analyses Req uested <br /> LabAddress/Phone: 333y 4. _ �ef <br /> ATC Project Manager: So N <br /> ATC PM Ph.No.: 925 225- 783 x Email: � 75- atc-enviro.com <br /> ATC Sampler: a Phone: 925 225- w 0 S ,.� S <br /> Sample Information Container Information o 5 C� <br /> Field Pt.I.D.- ee v v y „o ff m <br /> Matrix No Type Check if same as m� o x O p tJ <br /> ATC Sample ID Date Time solr waur vapor ' Sample I.D. LL Ip-. W a U M a <br /> X 717 c� <br /> X-/- <br /> Additional <br /> oAdditional Comments: 1 x; C;]�,, .� _ r <br /> EDF Format <br /> Relinquished By: Datemme: or , 'c era Received By: „f �„ . ,-- Date/Time: 0 <br /> Relinquished By: I �, Datelrime: G Received By: r A,'-11 �� Datefrime: o� i.zc+0 <br /> Relinquished By: Date/T irne: e� ' 6 /V,,,, Received By: 1 r� rr Daterrime: r- � /:Wlb <br /> Sample Condition.Good? Yes No On be? Yes--No _ cooler T P Transportation Method: Page of <br /> White-Lab <br /> YoI nw-1_ah Pink-ATr <br />