Laserfiche WebLink
s <br /> 720 Olive Drive,Suite D <br /> .�� Davis.CA 95616 <br /> Lab:530.297.4800 / <br /> ANAL}?/GAL LLC Fax:530.297.4803 Lab No. ! Page of <br /> #x man�er&rke.r PJR10 437- z/70 Chain-of-Custody Record and Analysis Request <br /> 4:gmpany! ss: FM No, F- For Lab <br /> Ne"t220% EP%V1 r'Grw-1-"1 i+C, 16 939-Zr72 Analysis Request use only <br /> Project Number. P.O.No.: Project Name: ; C3 W.E.T.(x) <br /> CO CDProject Location: Sampler Sig nat re: o TOTAL(X) N <br /> r <br /> C3 'ea m = <br /> Container Method CO <br /> m _ 0 o _ <br /> Sampling (Type/Amount) Preserved Matrix — = ¢ ¢ 9 9 N z r <br /> O C C V V OI C <br /> N m o n 0 m N N e d N <br /> Sample E J W o a �i w Ca <br /> z o 0 0 0 " v " N <br /> Designation Date Time g W .- _ = v z m m 0 � v, �• w <br /> 110 40 1 S of 3 <br /> SRa - 1B8 I <br /> 5100 <br /> � 5�os - gg I 3 <br /> WC10- <br /> Qal9 Time Received by: Remarks: <br /> {/urs O Q <br /> Relinquished by: Data Time Received by: Email address: <br /> ❑.doc ❑.xis ❑.txt ❑other <br /> Relinquished by: l� at Time Re7' ed b Labor ory: Bill to: <br /> Dfafributloa: While-Lab,Yellow-Rib,Pink-0091hafor C0C.fh8(9198) <br />