Laserfiche WebLink
Q <br /> KAPREALIAN ENGINEERING, INC. <br /> CHAIN Off' CUSTODY <br /> q� <br /> LO <br /> fSAMDLER I SITE NME t ADDRESS I ANALYSES REQUESTED I TURN AR"D TIME: { <br /> I &l W I C�nocal4 �-Ctrl. IrL�e�l <br /> I �AG, I I I I I I f I <br /> II+ITNESSING AGENCY <br /> I <br /> I I I I I ! I I <br /> No. <br /> I MWLE I I I I I I I Of I SAMPLING I I I 1 I I I I +I E M A (t c S I <br /> I ID 90. I DATE I TINE I SOIL IWITERIWAS ICOPICONT.I LOCATION I S I I I I I I I I <br /> .1. <br /> LZ <br /> k ! <br /> I W SSI I I �/ I ISI i I I 1 I I I I I cr9 p I <br /> I <br /> r r i r r I <br /> 952- <br /> 993 <br /> 92993 f <br /> q ! C.iMw z <br /> I <br /> I W7_ <br /> f I <br /> IRetinquiahed by: (S4/ gnatur ) I D te/ ime I Rec�.J by: ,'SI e) 1 The rolla+;nq #�L15T 6E crnpleted Ey the laboratory accepting samples <br /> ...�f// I for analysis: <br /> I I f� //,z I f I. Have all sample eceived for analysis been stored in ice? I <br /> (Relinquished by: (Signature) I bate/lime I Rect.'"d by: (Signature) I <br /> I I ! 2. hits aamples in refrigerated anti( analyzed? I <br /> IRelinquished by: (signature) I Date/Time I Rece7 =el by: (Signature) 13. Did any samples received for analysis have head space? I <br /> i. were samples appropriate containers and properly packaged { <br /> IIelIrquished by: (Signature) I Date/Time I Rece..vd by: (Signature) I I <br /> I I I 1 <br /> I <br /> I I I I Signature title etc <br /> I <br />