Laserfiche WebLink
r'•.�.r�Y! rj � <br /> F CUSTODY RECORD <br /> Envirownt 9$080000$4— BOYAJI AH&ROS O. 18 � <br /> 132D East Shm <br /> Td. (20% <br /> ire' <br /> Wting; 1c '4a _ ANALYSIS REQUESTED TURNAROUND <br /> 13 s!~ •vj ❑ RUSH 1--1 — HR. <br /> rn <br /> ca <br /> C ROUTINE <br /> Assn: C ,111 P.Q. 0 M U <br /> Report 80YAlIAN&ROSS, INC. O 0 NOTES: <br /> 1320 EAST SHAW AVENUE SUITE 155 <br /> FRESNO CA. 93710 <br /> Alin: Sz <br /> E E <br /> N z REMARKS <br /> DATE TIME SAMPLE LAB Preservation, Handling. <br /> NO. I.D. NO. tai <br /> Q or Obseivatlons <br /> W--atl I $a$f-Uj of <br /> g g 1 =3C-) LSC. l W Z is acaa'�k4�- b-+ <br /> 6 C� � �•�I�2-��N�M ldy ic�C� <br /> D C�:caU 5001 S /� 3 amort-ac.dtnc�d <br /> s-00 Z. Sx 1x- <br /> c(j,e� <br /> 8`� fc8 r 5 -00 S- L <br /> (Soil. Water, Vapor, Other) Total Ro. of Contalners <br /> SPECIAL INSTRUCTIONS: t '�` � car- v z a <br /> QY)a\--kT-e- `*kA �s �'f ZCa e7 <br /> RELINQUISHED TO: SAMPLE RECEIPT <br /> Printed: Company: . ❑ Received in Good Condition <br /> Signature: Date: Time: ❑ Samples .Properly Cooled, Temp. <br /> RECEIVED FROM: ❑ Proper Containers <br /> Printed: Company: Method of Shipment: <br /> Signature: Date: Time: <br /> RELINQUISH BY: Comments: <br /> Printed: Company T =-Lz— <br /> S-' 0 <br /> 'Signature: f Date: Time: <br /> RECEIVED BY (LAB) <br /> Printed. l� ►�'^ �"1 Company: �Q <br /> Signature Date:I Time: + <br /> DISTRIBUTION: .White - Return to B&R wl Reports Canary - Laboratory Pink - B&R Sampler <br />