Laserfiche WebLink
C 1885 N KELLY ROAD • ?MAPA,CA 9a (707)25$ 10Ca • Fax(707)226.1001 AF ;R r <br /> R <br /> wncq <br /> r 4 - _ _ SAMPLE QUE DATE PROM NIGR <br /> A ' CHAIN OF CUSTODY PROJECT PROJECTNAME <br /> a U C''L/- (o <br /> CLIENT CONT CTNAUE ANALYSES 41EQUESYED <br /> SSp— <br /> Avi V w e -i D s .S'y' eL,e A4A;l /4/ ' <br /> ADDRESS CITY STATE 21P k! <br /> BILLING ADDRESS T PO q , <br /> r' <br /> PHONE# SAMPLER(PRINT A SIGN NAME) <br /> Z-.-7-F—7 E� AJ U1 <br /> REMARKS SOPLEY <br /> DATE TI61ELMATMa"- CLIENT OOMP <br /> SAMPLED SAIAPLEOVSAMPLE DESCRIPTIO SITE LASS GF�as ' <br /> Ln �Ll 7 �rG• �aaN 1Q �� �� y4�t'l Ve, - MUJ-/v �,f Ga�B ,� do Mcg rr <br /> - <br /> ..` <br /> IN ` <br /> S <br /> � it ti <br /> 40 <br /> f ( ~ <br /> H lJ�r r� .IM .rt r . <br /> A <br /> pi <br /> Z <br /> jj:HtiT � <br /> x / rl <br /> LL ti By submittal of sample GSI&nilagrees to abide by 1heTgrms and Obnditidns set forth on the reverod of this d0oument • Y <br /> � k t I <br /> + <br /> RELINQUISHED BV DAT IM RE IVEDBY I: INQUISHEDSY _ - TME RECEIVEOBY <br /> B <br /> � (, . /�i� � s 3x11. ��► <br /> Ti , <br /> IPPING MET H0 SHIPPING It RECEIVEDBY DATE/TIME, COND1110H MATRIX AQ-AquaousNondrtakiQ9Water,DlgrwdMetal <br /> 61 TEI1P AEALED, H INTAC S FE-Low RL s,Aqueous Nondclnkmg Water,aipmdketals <br /> r I _ PR DW-DrinXmgWater, SL-Sod Sludq%Sokd;AR-Xil(1 �' , 9t c, t f °i +1 M tf FP-Free Product <br /> yEAQARKS a *�+ CONTAINER TYPES;-AL-AmberLlter;AD -2%mL <br /> In AR Amber,AHL- 500 mL.Amber,PT-pial(Plawt HG-Hd <br /> I✓f Gallon(Plesllc),SJ-So3 Jar B4.4 o: IlACT U-&ass <br /> � , i Tube,VOA-40 mt VOA OTC Other Type Cwdtkwi <br /> � n <br />