Laserfiche WebLink
i <br /> abora o Sa Numoe s (A y <br /> CHATrFUSTODY RECORD � � � c' <br /> C-, - �7S �3-� *_ f � <br /> RESULTS TO: ` BILL TO: J <br /> ACZLaboratories, Inc, v <br /> 30400 Downhill Drive 2 I t N� D -7,)+ T <br /> Steamboat Springs CO 80487 <br /> 15 -►- NF qp T- 1ZF_ ►tito�v S' <br /> (303) 879-8590 (800) 334-5493 Ize-6 1a�a W Tet: Zoo-M9 - ZZ Attn: Tel: <br /> PROJECT or P.Q. # a ANALYSES REQUESTED <br /> Z <br /> SAM Si aturel7�4 <br /> ame) �� � _2 F � REMARKS <br /> ull i.J/E 0 <br /> SAMPLE IDENTIFICATION DATE TIME SAMPLE o <br /> 7 <br /> MATRIX 5 r! <br /> 1.00 1' !� � PSI I�Z U 3 <br /> S iZ JC- ni L..,Z- (_0 0 ! �z4�3 "' 'r 3 Z 1 <br /> SP-r- rrt w3 - Lob i l�zg r r Z <br /> nditi n of amplqs TJX , Rect ipt _ <br /> EaDcrator a, <br /> TemiDeilature f Co ; °C \>`C._ <br /> S ripple ntai nerys <br /> LIJI <br /> METHOD OF SHIPMENT: FED X UPS HAND OTHER COMMENTS / l <br /> SAMPLE DISPOSAL OPTIONS -Please complete section A, or'choose one option from sections B AND C. m L�L : 13TG X ='�0- S Pf� ��`'/ f J <br /> Pro er charges will be assessed. , 'r1/4 ^ {C).O Z <br /> (A) Long-term storage 0 If Sample is Non-Hazardous 0 If Sample is Hazardous <br /> Hold until (date) 1) Local Disposal 1) RCRA-Permitted Facility Lem) = 40.0 d <br /> for future analysis. 21 RCRA-Permitted Facility 2) Return to Client ` 9 <br /> 31 Return to Client <br /> RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME PAGE 0 <br /> 11/3003 8_a040► L j------ <br /> QF <br /> 11411,i�., Re1 ,rn ..,I�amn�n Yn�lmu _ An*-irn 4a0lommnln Qinlr 00+1prn %A01cfamnto 41OLD-kAp.n for vrnrr rRrnrrtc <br />