Laserfiche WebLink
eMeyuzolKerdoon <br />.'Relyding Few A Cleatier AnOMIMN11" <br />20oo North Alamedu Street - Compton, CA 90222 <br />(310)5.17-7toO Far: (,'JI0)6;39-1254 <br />G4-DIRS EIA)'Ovilifiente *2o. -r <br />Client: Contact: NctL, <br />Address �CrLCity: <br />Project Name: <br />LI AA <br />Chain of Custody <br />Date Page. Or <br />Tel: z. 5 ILlil- <br />State: <br />Fax: <br />Zip Code: el S2 <br />Sampler(s) Signature: <br />sry <br />Project Manager:Approved By: <br />Due Date LJ Regular L) Rush Days Comment.-;: <br />Sample Description <br />Lab <br />ID <br />Date Time <br />Collected <br />Matrix <br />No. of <br />Containers <br />Analysis Requested <br />a 2.1411- 6 <br />C-Ik A4 1 0, <br />.-T-Ti <br />Sample Conditions: Seal [J Intact LJ <br />Relinquished by (Signature.) — <br />Relinquished by ( <br />Relinquished by (Signaler <br />SPECIAL INSTR UC*IONS <br />IJ None; Temperature L) Cold U Room; Other <br />Received by (Signatu <br />Received by 054inatv <br />7 <br />Received by (Signatii <br />Tl� <br />WHITE COPY—Client PINK COPY -- Courier <br />Date/Time <br />Date/Time, 7 - <br />Da telTim e <br />02-11-11 <br />