Laserfiche WebLink
C) Q;.- �o <br /> CHAIN - OF - CUSTODY FORM PLEASE RETURN ORIGINAL <br /> LAWRENCE & ASSOCIATESANALYSIS REQUESTED <br /> 2001 Market Street, Room 523 <br /> Redding,California 96001 <br /> (530)244-9703 FAX(530)244-5021 <br /> LABORATORY 9 C- br e L4trK <br /> j Inc. <br /> PROJECT_ FOX R,vgC r!(qOo!' <br /> Lo 4,�jy A*k6 c4, <br /> . <br /> JOB NUMBER <br /> 00t,-ICI 4- 00 j )c, -?L �� � �' CPr -13:3 CA V c <br /> CONTACT Ay1a Kick <br /> MATRIX w METHOD <br /> w PRESERVED SAMPLE NUMBER SAMPLING DATE <br /> LABORATORY U <br /> a <br /> a I.D.a <br /> w <br /> W J H N Z W W ~ <br /> a < a O <br /> w 0 _� z v v x z <br /> 3 N 3 w Q <br /> YEAR MO. DAY TIME <br /> O O <br /> og-z z o z o <br /> a - o <br /> R o 0 <br /> 0 _5 kDK <br /> O -b y Px- <br /> D 116 on <br /> ors- <br /> o <br /> COMMENTS AND NOTES: CHAIN OF CUSTODY RECORD <br /> L&AGLOBAL ID If S / s STp;Z3$6 <br /> SITE ID# ZSAED BY:(Signature) Date/Hour <br /> PDF 4o &avek 1�wrh� L Ck ,, ' RELINQUISHED BY:(Signature) Date Hour RECEIVED BY: <br /> ED F <br /> n <br /> B�c�.c\+11�� AA-c, f•. -�� ir�+lla,�, atde{ <br /> RELINQUISHED BY:(Signature our RECEIVED BY:(Signature) <br /> T" l�eJoS� -.� <br /> H, Sper <br /> l� <br /> cc,� M� NA/ KI RELINQU DBY:(Signature) Date/Hour RECEIVED BY:(Signature) <br /> 5�qy C-1 NCS <br /> DIS TCHED B (Si nature ate/Hour- RECEIVED BY:(Si nature) <br /> PAGE BILLTO: L&A IV/ CLIENT O /� - 10 0 <br /> a✓ % <br />