Laserfiche WebLink
116 f <br /> vvr..v � <br /> N r r R N T A l MCI) <br /> 0 685-7852 . - 0t-rr--r -; 4 <br /> IAaORA �. rNC 423-7143 <br /> Company Meme: Phone N• <br /> 13FAX 0 Lom elr drill; Site location*9/Io x❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Project Manager ' Client Project ID (N)o�301 1 � �� 0 ❑ <br /> LD <br /> NAM 0 ❑ ❑ ❑ ❑ a� a 0 n Cr <br /> I attest that the proper field samplln pler Name o ❑ rn �' ❑ ❑ i ❑ ❑ <br /> procedures were used during the collection , . a 2 ❑ ❑ m c°7e 3J ° <br /> of these sam le ❑ ` c W a 12 Ela ❑ a ° a <br /> m <br /> ❑ W 8 a ° a <br /> 13 <br /> Me (3atrix Sampling 5 a <br /> ❑ IL Preserved LUFleid GTEL <br /> Sample Lab # � u, ° El ❑ ❑ ❑ aa ❑ <br /> ID (Lab use only) 05 � $ d ,� <br /> 3 a N a o i i 5 L m x u9 f�i1 u� I u°I u°S u� u°I Ib R <br /> a v MoUL P Ol <br /> 4 <br /> Ci NO <br /> � <br /> � To <br /> �Ih ai► of ��• <br /> 6.C8 7AWS <br /> T&L 9 x low I �YY <br /> TAT .7 •r� Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> .01 <br /> Priority(24 hr, OTEL Contact S �7i�GsJ OA) IGK A'T 1; <br /> Expedited(48 hrj ❑ QuotelContrecl l <br /> 7 balness Days ❑ Confirmation# <br /> Other PO a SPECIAL.REPORTING REQUIREMENTS Lab se Only Lot N Storage Location <br /> Business Da ❑ <br /> QA I QC LEVEL 7 <br /> BLUE❑ CLP❑ OTHER FAX❑ work Order N <br /> Pom <br /> Relinquls d b Samp Date Time Received by, <br /> CUSTODY Relinquished by Date Time Received by <br /> i RECORD Reiinqurshed by Dale Time Rec Ived by Laboratory: <br /> ' � J <br /> Rev 7121 ? ► L Waybiq N <br />