Laserfiche WebLink
AAL /\IturasM NEW 111113111'M <br /> Chaht of'Cusfady Recol-d Aiioias sub#: <br /> Analytics lob-Int!SAMP:06/23/04 RCVD:06/25/04 CHCK:08/09/04 <br /> IIIC. 1232 Alfurns Urice, Moscow ID 836,13 (208) 683-3.100 ITAX 932-9246 <br /> BFC PROPERTIES 04-261 <br /> Company IJame: Pioject Manager. <br /> i' * ,�. ��-j�':►a1.t/a.�t•,/�c7/ ` 1�.:�;/;�t.1-�', �.-��f r-/t✓ca <br /> Address: Sampler Signature: (1 _v <br /> -/ � y -�Lt-ti(.r;-�� L�� ❑Next Day" Results needed by: U mane <br /> City: Stale: Zip: Project Name 3 ft: ��2nd Day' W Mail <br /> E'. fru 5� � f. ., .� : <br /> / i S L C�C� I1a tJ rmaf �_� <br /> Tel: ft: U-Pax <br /> pax: , (_ Purchase Order : .� eee���� <br /> E-mail' ' arc i�; Shipped Via/Other: "Please call to verily rush charges <br /> I f{�GY1�f'�i l f'U til l' Imo?�•CLr1 before submillinq saniples <br /> Provide Sample Description List Analyses Requested Note Special Instructions/Comments <br /> Pieservalive: _ __ "" Please indicate units to be reported "* <br /> C m , <br /> Cc <br /> t <br /> -a mE V �h b u/1/ ,�ti1 ► C tvt <br /> 3 s, <br /> Lab o m <br /> ID Sample Identincation Sampling DateMine Matrix a <br /> 7CLUA,­ lvd7 <br /> '1 <br /> hQ1 <br /> 1• )Ct V <br /> G1 tOC4/ <br /> % hj 1 t� ( i �l n ex E �z� hGz�vaG <br /> tc, <br /> 11:1, tQJL!L <br /> nature Mintedlnled tJame Company Dale Time <br /> SIab Use Unly <br /> Relinquished by t 11�ca 11JVjt l r fes;,%GI -� ih,2 --t1. c(/f Received Intact? NO <br /> Labels & Chain Agree? NO <br /> Received by L5 i 1 Containers Sealed? YE NO <br /> Relinquished by Describe <br /> Received by <br /> Relinquished b <br /> Received by ���_� ^' Page_�Of_ <br />