Laserfiche WebLink
T <br /> ASSOCIATED LABORATORIES <br /> 866 N. Batavia �Orange, CA 921368 CH IN CUSTODY RECO D <br /> 5. <br /> (714) 771-6900 FAX: (714) 538-1209 <br /> Date Page of <br /> CLIENT -C <br /> PROJECT MANA R <br /> ADDRESS � - � - Samples Intact Yes No <br /> �(� County Seals Intact Yes No <br /> PHONE NUM E O r/�I Sample Ambient Cooled�Frozen_ <br /> PROJFJTNAME SAMPLERS:( re d [ Same Day - 24 Hr. <br /> Regular�� 48 Hr. <br /> SAMPLE TYPE NO.OF SUSP. <br /> SAMPLE LOCATION ATE TIME CNTNRS. CONTAM. TESTS <br /> NUMBER DESCRIPTION WATER AIR SOLID REQUIRED <br /> e <br /> L� f <br /> -�e <br /> G) <br /> r <br /> Relinquished ignr7k <br /> Rec ( gnature) Date/Time a I hereby authorize the performance of the above <br /> ✓ - indicated work. <br /> t <br /> Relin fished by:(Signature) R ce ed Laboratory for analysis: Date/Time <br /> (Signature) <br /> Lpeci7alinstructions: <br /> DISTRIBUTION:White with report.Yellow to AL. <br /> Pink to Courier <br />