Laserfiche WebLink
e <br /> KAPREALIAN ENGINEERING, INC. <br /> CttAIW OF CUSTODY <br /> ANALYSES RCDULSTED I TURN AROUND TINE: ` <br /> i SITE NAME t ADDRESS 1 �`� Z �f• I <br /> SAMPLER Ta 17 ,y <br /> �.� 7 r <br /> WITNESSING AGENCY <br /> V}+ I I I I 1 + <br /> i I I I <br /> 1 <br /> . I I <br /> Nv. I 1 Ei11 , I I I I it I <br /> I I + I 1 I I <br /> OF I SAMPLING <br /> I <br /> SAMPL <br /> I !ol AT tDN I <br /> D NDE I DAT£ I TIME I SOIL INATERIGRABICDMPIC61+T.1 ax, <br /> 1 , + ✓ , I I ✓I I `�k ll •Br I r/I r/ I L oiZ- t` I y�5�/mss 7 <br /> I z r f I I 1 I I i/l l rd'Fe ria G 4' I (/I /1 1 1 I <br /> I <br /> V , <br /> k + I I I I I + <br /> I I I I I I i I I 4 I 1 <br /> I I I I 1 I <br /> + I I I + I <br /> I k 1 I ! 1 I I I I <br /> 1 ! 1 1 1 1 1 1 <br /> The following MUST BE canpieted by the laboratory acceptingstnplcs <br /> Dete/Time <br /> ��— I eceived br: (signature) I <br /> IRellnWished by: (Signature) I .,. I {ar analysts: ! <br /> 1. Have all. sm,Qtes rec`ired for analysis been stared in ice? <br /> Relinquished by: (Signature) I` Date/Time I 0.\eived by. (signature) 12. Uill omples remin refrigerated until anatyxedT <br /> 1 I 6 1, <br /> I <br /> 1 <br /> Lysis have heed spaces <br /> pate/Time Received kA: (Siuturc) 3. Did sny swples received for ana <br /> IRetinquished by: (Signature) kI <br /> / <br /> I , L. Were\wTles in appropriate containers and property Packaged'' <br /> y c I <br /> IReligiished by: (signature) Date/Time I Received by: (Signature) <br /> n ��_ Title <br /> I <br /> liic Date <br />