Laserfiche WebLink
UKt WVMTORCIES, INC. <br />3401 La Grande Boulevard <br />SACRAMENTO, CA 95823 <br />TEL (916) 428-1193 <br />CHAIN OF CUSTODY RECORD <br />Cl fent: }� `,� '1'2-a'f <br />s <br />Contact: �7'---=> <br />Telephone: <br />Project Ref / <br />ELI Order # <br />Project Name <br />Analysis Required 1 Comments <br />SAMPLERS (Signature) <br />L a <br />4y <br />� te�ec <br />Client Sample ID <br />Sample Location <br />a <br />Deterraoe Container <br />Q a <br />e <br />.o <br />Type <br />J °k Jae <br />a L °� <br />L <br />1 %: / / <br />®. <br />®, r <br />Eat. Sod 1 <br />• <br />- <br />e v t <br />/210 <br />" <br />AU <br />ft -21 Ott , G <br />free T+�+yrJ•+4 <br />. ,� <br />id AI <br />!i �- <br />v <br />s <br />EEi. <br />Relinquished by: <br />Received by: a..•..e <br />Relinquielmd by: a,&.. <br />"Date1T'rne <br />Received by. p.••••e <br />/Datelrane <br />Rer by: <br />DstelTatoe ilec by: a <br />ReliNuMed by: a.. <br />Date rmw <br />Received by: a, <br />Refmquiahed by. a.--# <br />Datefrune Received to laboratory by: no, - Dat elrMe <br />l�j r <br />ELI 514-01 <br />