Laserfiche WebLink
EA TREATMENT Y T <br /> ENVIRONMENTAL CONSULTANTS �`� turn-around <br /> CHAIN OF CUSTODY RECORD <br /> PROJECT NAME : <br /> 301 Number of �� ct� <br /> SAMPLER (signature) <br /> Containers/ <br /> a <br /> Type of <br /> ^ate Time Sample Location Sample <br /> J q Lab I.D. <br /> 3o,-0 2 sr- � -� ` BRA S p— -795 <br /> aol- 052688-7- 1Z.5' Q-7 <br /> %., • O:ca 3a1- o816S - T- tg. ` `` X ..- � Q�Oj <br /> N '� 0:3 2 3 1-d --7 - Z. '` •i x -1 1 <br /> I 4:C Ari 3 oI - - 7.5 ` �� X L9850b <br /> Gb% - -z- 6. - 61 0 <br /> 301-L,SZ(.bB - 7- 4 ' `. 'r <br /> _Relinquished , y: Date / Time ,Received by : Relinquished by : Date / Time Received by : <br /> 1- <br /> E►s. o��/� C InI l_ <br /> Com an : 5 Company: Company: Com any: <br /> Relinquished by: Date / Time Received by: Relinquished by: Date / Time Received by: <br /> Company: Company : Company : Company : <br /> Relinquished by : Date Time Received by : Relinquished by: Date Time Received by : <br /> - 'Company: Company Company: Company: <br /> NOTE: In preparing legal documents always use ink and signatures <br /> 1@O- -224" (2""1,384-141 , MFR(--F-D, rA, 9S'4,0 <br />