Laserfiche WebLink
- <br /> _ s s <br /> J <br /> KAPREALIAN ENGINEERING, INC. <br /> K MAIN OF CUSTODY - <br /> AHALTSES REouESTED I TURN ARO(AID TIME: I <br /> SAMPLER I S I SITE NAIIE L ADDRESS I l• ^}ti S I <br /> � � s 4' '' ,"- '• ! , _ l_ t, �' i I i k•-.; I I 't.I ', I 1 I <br /> I,aITNESSING AGENCY I -� ;, ,, -_t. . F k J;,I 1 , I lM xI <br /> I _'�.�.-' _ +� �'rlr`_�I 1. `'I-.+GI�'P•I I <br /> I I I No. I Irr,x ` I_ ,_ t t r r: r t E N A it <br /> I I I SAMPLING I {►- I l i..i if is ,I u.�.I��i I <br /> I SAMPLE I I I I I I I OF I <br /> uATE <br /> Soli IRIGRAB C04PICDWT.I LOCATIDti <br /> T <br /> IO Ho. I HATE I TIME I I <br /> � I ���� Irl• `SII I �� Imo• I ..�l ,jl I 1 I 'l�t +;: ,,-� }���. � 'S <br /> ! •%I i I I <br /> , f )( I I �il I✓1 I I Iv l "- ! `� I <br /> c/ l L/ 1 I(.,�1 I j I 1 i� 'I cy'l t_.� k ✓I 1 `e-� 4 <br /> !/ <br /> ,7 I �; try I�kf cit �!I I �j I I ✓k l � I I <br /> f`1l�ir�lfk <br /> JnII •:�� I/ 1 �I l� L ' <br /> 2I �IL/ <br /> 1 /!"t �II I L ' k I <br /> Z(o I <br /> ples { <br /> b: (Si ture� � The following MUST BE Completed by the laboratory actepting sar <br /> IR I nquished by Da a/Ti elvedyfor amtysis:n-4 ' <br /> ( ignaturc) I <br /> Have all seirplet received fa�nalysis been stored in Ice? <br /> IRelinevisAed by: (Sigrnoture) m I Date/TiI lved by: (Signature) <br /> I Z. Hitt samples resmin refrigerated until enal)�ed7 <br /> I I (Signature) N-;(3. Did a samples received for✓°�^r+��Xsis have head space? ` <br /> IRttinQuished by: (Signature) I Date/Time I Received by: (Sig � <br /> uer saaptes in appropriate contgifers rnd properly ps ka9ed? <br /> IAellnquished by: (Si"ture) I DatelTime I Received by: (Signature) V .� <br /> ature Title Date I <br /> I I <br /> I <br />