Laserfiche WebLink
CHAIN OF CUSTODY RECORD BCA Log Number <br /> Client nage Project or PON Analyses required a <br /> F <br /> L"Al X130-Li <br /> Addres Phone N <br /> 1 O vLi c> (e -Report attention 3_700 x a3 ma <br /> City,State,Zip <br /> ALL,,cC CA q ti 6� <br /> Lab Type. Sampled by -CA <br /> Number <br /> Sample Date Time See key 50,LLr)cJ2 of [1\ �a`0a <br /> number sampled sampled below Sample description containers "t �/ 2 �Q Remarks <br /> 5-3.0 0 Q, eR)1'Auc> STG K 01 goo o3 i3 V/ <br /> 5 G o f 9 C)a 50,3 )3 <br /> S 1 C,KOa 9 005o3 13 ✓ <br /> sr < 0 ` 005033`7 V <br /> r3!-Q C05O- Ito R dL V <br /> TRIPQC, 900 �2 'Q� <br /> a <br /> m <br /> A C_ <br /> C <br /> � Z <br /> e <br /> C.n <br /> m 00 <br /> r to <br /> IE <br /> Uj > Signature Print Name Company Date Time <br /> Relinquis4dby LkC,�a,, CL_C( ��` Mgrcla- MQrcellt i -F,6KLA p 5-3- 9G 1goo <br /> Received by /' Gy GN/J �l� A �g o <br /> Relinquished by ; (� j'"Ut� <br /> Received by �1�AA <br /> I <br /> Relinquished by �3/CW /SSU <br /> Received by Laboratory <br /> B C ANALYTICAL Note:Samples are discarded 30 days after results are reported unless other arrangements are made. 'KEY: AO—Aqueous NA—Nonaqueous SL—Sludge <br /> ❑ 1255 Powoll Street,Emeryville,CA 94608 (415)428-2300 Hazardous samples will be returned to client or disposed of at client's expense. GW—Groundwater SO—Soil OT—Other PE—Petroleum <br /> ❑ 801 Western Avenue,Glendale,CA 91201 (818)247.5737 Disposal arrangements: — <br /> ❑ 1200 Pacifico Avenue,Anaheim.CA 92805 (714)978-0113 <br />