Laserfiche WebLink
M8 vironmentat 3083 Gold Canal Drive <br /> Laboratories_ Rancho Cordova COMPLUF <br /> 2 TOR <br /> Ph 95670 ne 961652-6600 CHAIN OF CUSTODY RECORD i Z : 0 INSTRUCTIONS <br /> Fax 9161652-7292 <br /> 1;10g4T0rJ P-D FOR LABORATORY USE ONLY Aealy1kmlMedtods <br /> Ship Tnwn <br /> a: Project Name:— - <1at <br /> Address: Project Number: O ZG-4C}00 T'?. Laboratory Project N 112- ` 44132 Lang M.." <br /> 413 2 shat Method <br /> Storage Refngerstor ID 19- 20 Ite.1 L«q Medad <br /> Project Location: (State) Storage Freezer ID `420 1 Sh0"M1Od <br /> 5012 <br /> Sampler Name Signature PPS Worn to Field <br /> 2R� Alu�S s�242 <br /> Relinquished By DatcMi a ed x r ethod of ShipmentlShipmelt LD Datelflme 001 <br /> A tIJ FED R 2 - z-9 S 16 0 Zt-q S 1640 &M <br /> Relmgmshed By Dat ime received By or Method of Shipment/Shipment I D Date[Fune we <br /> 610 <br /> Relinquished By Dsteil irne Received By or Method of ShipmentlShipmern I D Date/"une 92b <br /> 9010 <br /> ears <br /> ANALYSES RE UESTED ears Moe <br /> Sample Disposal <br /> Level of QC 1 ❑2 ❑3 ❑4 ❑5 ❑6A ❑6B 8020 <br /> (check one) <br /> (see Side 2) Write W40 <br /> in 9090 <br /> El <br /> ❑6D ❑6E E]61= ❑7 EJ8 Analysis Method :too <br /> Laboratory Standard e t so <br /> ElOtherSAMPLE INFORMATION 8270 <br /> 909-7 <br /> Acder <br /> Alkarnfty <br /> Description Container(s) BTEX <br /> FOR LIBOR�iTORYUSE ONLY <br /> Sample ID Matrix Pres chEbrall <br /> lab ID Number Date Time Locator Depth N Type Type Type TAT CLPn Is«sde 21 <br /> CO <br /> t r <br /> >0.1 t, ►ct 3 x cry <br /> 2 Z13 10-11 1 b!z• CY*040 <br /> lit I I IS � FlLcrde <br /> General Mineral <br /> 4 lies ch VM <br /> ion Balance <br /> Metalsal msthw a]• <br /> Metals 9010 <br /> 6 Metals PP <br /> Metals Tule n <br /> 7 TTLC Level <br /> S TLC Level <br /> g is"Sde 2) <br /> Mlrale <br /> 9 NOR* <br /> Not <br /> 10 Ory Lead <br /> O y M <br /> Peroar�t M•rcvry <br /> ,.. <br /> Special Instructions/Comments Container Types A=1 Liter Amber TAT(Analytical Turn Around Time) Perasm sad <br /> Mrass Tube Cassette I=24 hours 2=48 hours PH <br /> Perditorde <br /> G--Glass Jar P=Polyethylene 3=I week 4=2 weeks Phh"Phales <br /> 0--Other Vial 0=Other ��"' <br /> Sveate <br /> Suffdes <br /> SEND DOCUMENTATION AND RESULTS TO(Check orae) TCLv0A <br /> FOR LABORATORY U5 4ONY,QS1e Condition Upon Receipt. I r <br /> TF-�LA T EDOLA Moats. <br /> ❑ ProjectManager/Offtce - Moats <br /> GPoyNDVJATM Tr~LH . P.stwlde <br /> ❑ ClientName Tas <br /> idol ltardrNY <br /> T01W Safds <br /> CompanyI V" <br /> Address JAQI kAt.NMLV 12E �i� 140 E 1'yr�TO Ts9 <br /> TurWnr <br /> Phone ��Z 4 OQ _ FAX Z 5451 s1»cdr Tota«l)�aolr.e <br />