Laserfiche WebLink
♦ffffff SAMPLE MANAGEMENT RECOR6-.-*.!f!!!!f <br /> Generator/Client To C <br /> AEMC Project Manager 0 i <br /> Job Description-ZA Al ff' AE2 <br /> SAMPLING INFORMATION <br /> Sampling Date 7'Z 2 g6 Sampling Collector <br /> Sampling Location <br /> (Provide sketch on back and /match sample s with sampling location) <br /> Suspected Toxic Constituents (To �i/V /� u� AsT.� e,'/ <br /> Field Conditions eO /C <br /> Sample Depth/ Time Sampling <br /> Sample # Type Drumz Sampled Method Notes <br /> Fx i S So, f / /0 Q�AssT�Sl <br /> �X S S e/' Z / /: 30ofo <br /> 01 <br /> (For more than 4 samples , attach a Continuation Sheet) , <br /> LABORATORY ANAL4Sn' �` `�' •�• `� �� •��`� <br /> i <br /> J � <br /> Laboratory_ / i p /�L Contact/Ph,gne <br /> Date/Time Samples Delivered / _�' �� 7h Iv] AET!. P. Q�;, <br /> :Report Due Date "Rush" Autfhorizedalysis Requested /_ /+ / 2- 0 O b,/ <br /> t l / <br /> Send results to AEMC Laboratory , At�ten#ion: <br /> Sample Retention Instructions <br /> CHAIN OF CUSTODY <br /> Relinquish/ed' by (Company) Received by (Company) Date/Time / /✓r <br /> 3.15 -4 0 <br /> -AMERICAN ENVIRONMENTAL MANAGEMENT CORPORATION <br /> 11855 White Rock Road, Rancho Cordova , CA 95670 (916) 985-6666 <br /> FORM 20-52 <br />