Laserfiche WebLink
CHAIN-OF-CUSTODY RECORDO " IY70 OAK 11848 <br /> oo <br /> PROJECT NAME: L ^i GZC C `'rlC t Z� r� DATE: ,j1 Z�© PAGE OF N <br /> PROJECT NUMBER: / LABO� NA_T,p CLIENT INFORMATION: REPORTING REQUIREMENTS: \ <br /> / (� 0) <br /> rI <br /> RESULTST06,1,, <br /> M i LABORATORY ADDRESS: \ <br /> ti', it <br /> TURNAROUND TIME: � 0 <br /> SAMPLE SHIPMENT METHOD: l TO.R�Y�ON .CT: <br /> I M GEOTRACKER REQUIRED YES NO <br /> �FrTJME <br /> /NUMB <br /> [ ( SITE SPECIFIC GLOBAL ID NO. <br /> SAMPLERS (SIGNATURE): ANALYSES <br /> a <br /> O T <br /> O <br /> SAMPLE 1J CONTAINER Sb d o ADDITIONAL <br /> DATE TIME NUMBER TYPE AND SIZES LL a v 2 z° COMMENTS <br /> 6/1ti C O yNC EE- 32- -5 6u S eP(.,' (�% Srr S D <br /> - 2- <br /> 1615 <br /> lozs - . y _IU LO <br /> t� a <br /> IIZS T -5� <br /> LO <br /> 12--Z <br /> 13 z y --7---�5- A; , <br /> 14i i d T7=5 y- <br /> I�Cf � TT- <br /> IS v C <br /> V 2- <br /> r SS 1 TT-Gc i <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: DATE TIME TOTAL NUMBER OF CONTAINERS: 1 <br /> SIGN G SIGNATURE: / SAMPLING COMMENTS: 1 <br /> P INTED NAME: \ j� PR NTED NAI /( l�- <br /> c7 l \ !� l <br /> COMP: �\ COMPANY: y� <br /> SIGNATURE: SIGNATURE: <br /> c <br /> C <br /> PRINTED NAME: PRINTED NAME: <br /> COMPANY: COMPANY: <br /> SIGNATURE: SIGNATURE: 2101 Webster Street, 12th Floor <br /> PRINTED NAME: PRINTED NAME: Oakland, California 94612-3066 i�=� Geomatrix <br /> COMPANY: COMPANY: Tel 510.663.4100 Fax 510.663.4141 <br />