Laserfiche WebLink
LAY. MCH EnviraQmea9a! Laboratories rpt,lay Na. ©� -7 Page _ot <br /> O6915 Rosecrans Avenue, Pu naunf,CA 90723-3146 <br /> Tdephonc (562) 272-2700 Fax: (562)272-2789 Z <br /> Chain of Custody Record <br /> Client: &Ulr'�WMMAJ f-6,nk4c4i�'c- P-ttone: �IY-667-a30o Turn AroundTirre a1 <br /> Conrail: /Yla.j[ $�kc —� Fax: i�-.-XyO Rush 2Lr or j�sS 6 <br /> aadreu: �c s ,� �'�6r,Ila !�a 4 0"�e 41 Zo Ldrirnral _ <br /> (Project - �-Uk #p'n Aaal ed <br /> Sampled 3y: Dun 6, p4 <br /> �9:' <br /> Lati ID Number Fre4d ID DatelTime Sampled Hoille Type No. Preserv. Matrix o UY Comme0s R <br /> S r <br /> "6/14 tv-L Ra/ Qy!►r t So 11 x <br /> SP5 ' x X J�R-I/ a�.r s <br /> A Y <br /> IJ <br /> v <br /> D <br /> 7 — <br /> 1 <br /> h <br /> J <br /> U <br /> U <br /> C <br /> i <br /> r <br /> r <br /> v <br /> 7 � <br /> o Rel;ng6she37 _ w _ �..w�_ Date I Timc: 2,//4, 6z Received r <br /> C <br /> Dispatchcd : Date I Time— Carries ` <br /> v D <br /> r I hertbv awho6ze rhe pu;:^:mancc cf the am--Oe indicwed tests <br /> v ->1 <br /> n <br /> Date/Tirrr' `16 - -� t- �(,._... 4tzmvFd bris <br /> b <br /> Crti-CCRtxtE Custody[tubs) in tact upon teceipi by lab? YES NO r NOi <br />