Laserfiche WebLink
EQUINA Ente 6ses LLC Chain Of Custody Record _ <br /> Equiva Project Manager(To be Invoiced) IKODEM1TP NUIusEHJSs EE)) yl..�� 00 <br /> sel�,=eEcsatAeenna � q DATE _ <br /> T-►ttac.l serv�(s) 1�_�INp►- s/1P or#:Rt�Cr hUMgt:l:t�`�S,�CI;itlilT) <br /> f ! PAGE OF <br /> L'Rh1'f Hottslps <br /> It ANY .r SITE AaDRESS(Sveet ani city) <br /> arM�Wa-' fJYt�UtuMF.iv }{ �rGcrz 01.�c�rY 1D-7I N. MAIN STVEg-y, M4 N►-TS-fA CA <br /> 11 (eS rff SL PR0XC �Ac7pp�. ) °2MT T� `T o 3 <br /> Call <br /> On1D CA '�4la .I Prw, LAO USE Oa y <br /> Q '4 010p -7� G rLJ LrnL.� 9I"� ICV cf4 Cclr t�t'� <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> ❑1 D DAYS 6DAYS ❑72 HF E] 48 HR ❑ 24 HR Q <24 HR REQUESTED ANALYSIS <br /> 5,7n Jc a a <br /> ❑LA-RWOCB REPORT FORMAT UST AGENCY�N11rYOAmtart� F4f7 t SI <br /> P <br /> GC?AS MTBE DONFIRMATION HIGHEST- HIGHEST pa BORING_ All m c Z @ o FileW Nates <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT(C) n p m � � a � W Conlataer/Preservative or <br /> 01)N.FI -M AI-L &A-fFG' j7GTC'GTtD N s a -2 > E go <br /> w o I PIDRendinrls <br /> Y O Z C7 Y Y l T gp4 lSJ `✓ o n m > p o or Laboratory Rotes <br /> e <br /> x `e o l <br /> ` a D o r m o <br /> G o <br /> + <br /> w <br /> P E ID n �Lg <br /> [1 $ p U ULAB <br /> Q to <br /> d LL n o = N v a o q <br /> + S41NF4.MlG X X a w M z M > > 1L n <br /> Field Sample Identification MAT rry mraxn _ = w w o m 'o U a = � S <br /> a <br /> r FIX r m m Oj w Oy Gl r 7 ? ? a <br /> L.Y DATE Tw <br /> CST -3 - • A <br /> a.I. <br /> r�1 <br /> 7-10 <br /> '111111 111 CPT- 3- 2A I L w _ 1-3 <br /> C p r <br /> z b <br /> 4 W by P e / Re�rad 6y Pgnatrce} Gate, Time <br /> LLQ V V <br /> RUWMVy P"llura) Rewind by PWt re) Data Time z <br /> n <br /> m <br /> 6 <br /> Raingiashed 6y(Spnalra) Rew by(98nature) Data 7me O <br /> Z O B d 4 l 3 ��� ° <br /> TI <br /> DISTHIRUON V4Ma VSO Ona report Greantafia Y100w end Pink to Ownt 16'01100 Aa mn <br />