Laserfiche WebLink
a J �►JJ 0 • <br /> KAPREALIAN ENGINEERING <br /> I N C O n P O A A T E D <br /> CIIAIN OF CUSTODY <br /> SAMPLER / SITE NAME a ADDRESS ANALYSES REQUESTED TURN AROUND TIME <br /> (J BUD 0-1� �'74 C'"CBN <br /> WITNESSING AGENCY 7,363 Pwe ' <br /> NO <br /> SAMPLE OF SAMPLING R E M A R K S <br /> 10 NO DATE TIME SOIL WATER GRAB COMP CONT LOCATION <br /> /fs <br /> Ret Incl shed by (Si nature) Date/Timeceived <br /> y {�ie�atu ) � the following MUST BE completed by the laboratory accepting samples <br /> S S for analysis <br /> 1 Have all samptes received for analysis been stored in ice? <br /> Relinquished by (Signature) Date/Time R celled by (Signature) l <br /> Z Will snrrplcs r refrigerated until nnnlytcd7 <br /> Relinquished by (Signature) Date/Time Received by (Signature) 3 Did any sanptej# re eived for analysis have head space? <br /> 4 Were samples 1 appropriate containers and properly packaged? <br /> Aelirx{utshed by. (Signature) Date/Time Received by- (Signature) <br /> S gnature Tit Date <br /> 2401 Stanwell I Awc,Suite 40U <br /> (011M(d (.a16 rrnw 91520 <br /> &1 5100)2510) lax 5111647(KQ <br />