Laserfiche WebLink
WRI <br /> - 5 <br /> 1 P.4s N <br /> v y • �• <br /> t_AR PROJECT <br /> 1;crf, Ii.NVIR()lelNIE'WAI, 0iAIN-()H'-CUs'I'()DY RECORD No.-_-__.-- — <br /> r, t5ce lte%vrse far histructiousl TAT CODES <br /> 1' _• -^�• � AINkH SAMPLE UESCFIIYTIQN CODES <br /> . I .f.r'•: ' '• 14 ', f SAh1EPLL.COPj <br /> L <br /> + t / Ic 5Ah1F'LEHS UE'.;CP1P110N COOL <br /> PHOJEC7 NAME ) /f :' ., I.a:- o <br /> � Il:'sr.ili: I t111ir•H- <br /> PROJECT NUMBER <br /> RECORDER . „ LABORAT.ORY USE ON <br /> it . — <br /> LY _ — <br /> r ,!,eurrl t,c ANA,PSIS REOUESTED <br /> I ! I t 3 I SAMPLE <br /> ruurn,rluc, 1 (�I • <br /> NO ! °. <br /> H l F Iv.Ahl I NDIT <br /> I <br /> NOTES ASSIGNED COUPON N <br /> ��iERs RECEIPT NOTES <br /> SAMPLE: IU <br /> i <br /> D TE TIME <br /> ut <br /> Gr'1.�� �i3.?� k1�-� r �FJ/".J :• f +- L �� �- `I � � -� � � � _� I __- _ ___ --'--`�-.�.-� <br /> : <br /> I� <br /> �J4 <br /> I J - <br /> 1 _ — <br /> Dale <br /> Time <br /> -- --- ---- � - Received F,3y:(SI na re r , <br /> --- r ,/HeUnqulshe/cf by^(S�talure} f <br /> Cur'f�5 f C7,' . 3ff��/�'��:!` r - - 7 �L r i J_���" �'• BY: dale Time <br /> NOTES!MISCELLANEOUS - - — ew <br /> "T GJ Lr X Si naturo) rRecelved (S+gna,ure) <br /> �jJ( (,'' 1• � Relinquished By:l g <br /> .:v.s►cCk 1 E'er., L f °' .f — Da1e Time <br /> Relinquished Y <br /> --.._�------------ "�' Received By:(Signature <br /> B '{Signature} ) <br /> -Cst ) Dat Time <br /> eceived lar lab y 4 <br /> Date <br /> _ 11T Si nature) at <br /> 1 Tlmc <br /> _ Dispalched E3y.( 9 I <br /> ills <br /> Mathod o1 Shipmant _ Oesciplion of <br /> -her- <br /> TranspoA Cont mer Chain Tranp(by Sa ial No.) - _ <br /> � Cr. — Yes ❑ No LJ�G e rl t Il U�(! [u�l N V i —__ .— (Check Office BelOIN) Verbats Requested: <br /> El VISALIA <br /> Send Lab Resullts to (Name): _— <br /> 1fOCh•I'0N TFL (209)734-9473 <br /> ❑ SANTA PAULAFAX (209)736-6273 <br /> hI.L ('(19)94'---01 S I <br /> TEL(805)659-0910 1:A){ (209) 942-0423 <br /> FAX (805) 525-•3172 CA 95215 •3-F.t..(2()9)`112-0181 • FAK E209)9d2-[)123 <br /> F(;I.h:tiVIK0NhtFN'l•AL LABORATORY•2500 ti-fA(;EC0A('1I K(lAI)•S1'Ul'i+'i'(1t. <br /> \1lllil k,.lS lsr PIyA f+hlU.n�l.T. <br />