Laserfiche WebLink
K KAPREALIAN ENGINEERING, INC. <br /> CHAIN OF CUSTODY <br /> --ter <br /> 511E NAWADDRESS I AMAIYSES REQUESTED I TURm AROuNO TIME I <br /> j IAMPt I _ 55 54v ,� I <br /> I ��. <br /> 73 3 <br /> IWITWESSIWG AGENCY <br /> NO. 1 I <br /> j w�tE I I I I I I I Of I SAMPLING I Z •1 ■■��� �1 I I I I l l: A fr c S I <br /> ID MD I DATE I TIME I SM IuATERIGRASICCHPICDIIT.I LOCAT10tf I I aygl I I I I I <br /> f 1Amm I I 1 ail <br /> Ain 735 <br /> 1 <br /> I��/ I I S I I S I I S I � � •- I s/j I I I I I + ! <br /> I <br /> !AW/(1V <br /> r I N nP� sr�L I ✓1 I I I 1 I I I <br /> I <br /> 1l I •. to <br /> I <br /> ISw + WAD <br /> I <br /> I IT <br /> I I I vi- I �1 I S I •• .• I � 1 I 1 ! I I I <br /> I <br /> I I I I I I I I I I I I I I I I I I <br /> i I <br /> I I I I I l l l l 1 1 1 1 1 1 1 1 I • <br /> IReII t MW (Signature) I Date/TIme I Received by (SI e) ( The following MUST BE corrpieted by the Laboratory accepting samples I <br /> D I 1 <br /> I I 9Y I for artalysis• <br /> + • rn tr ' 1. mare all sai+ples received for anatysis been stored in ice* I <br /> IAelinquisr by (Signature) j Date/Time I Received by: (Signature) <br /> I <br /> 2. will sawples reiwain Afrigerated until analyzed'► I <br /> Iteirnquished by (So"tore) I Date/time I Received by- (Signature) � 3 Did any saWt es recei for arsaiysts have head space' I <br /> 6. were saapies in appy rate containers and praperly packaged' I <br /> E <br /> Joelinquished by (Signature) I r pate/Time I Received by: (Signature) <br /> ` �� I <br /> ` ``- " U tk Swta�twr Title Data:G r--�.� t <br />