Laserfiche WebLink
C�ain of Cumepdmy Record Date <br /> Q 148 S Vmewood St, Escondido, CA 92029•ph 760 735 3208•fax 760 735 2469 PeTCd D30�-�� <br /> HPL Protect# <br /> ,.--np , 0 432 N Cedros Ave , Solana Beach, CA 92075•ph 858 793 0401 •fax 858 793 0404 - - <br /> LABS I] 2373 208th Street Unit F-1,Torrance, CA 90501 •ph 310 782 2929•fax 310 782 2798 Outside Lab J <br /> Client �'t?C Collector an,?w*_S A rL -page Of <br /> Address -,,,4�4 _ V� Client Project#TJ ZS�L'{]l 6z-(o Protect Manage,' CA <br /> ( _ Location / Z53L4d ✓rt <br /> Phone C� �� ! ' 4? Fax R S� a� ( 5 _ Turn around time — H[✓�9�.� <br /> Notes 82606 Sample Receipt <br /> o �'d <br /> o Cr Intact o Yes 171 No <br /> N <br /> w Seal Intact ❑Yes p No❑NIA t2 <br /> 1 rL`l° M Cold ❑Yes 0 No ro <br /> m W Om t� O h S c <br /> o c m = a X 2 h NIA(Received on Site) 0 <br /> H <br /> IDO O m m <br /> Cb aa) a) h @ O <br /> Sample Container = = N N m w ,07, U y Field Notes h <br /> Sample Depth Time Date Type Type a W c v m o o LL <br /> " wv4 - ID '�3i40 001,4X f® <br /> a w - -3 Ito, 11 <br /> " MA,,j q17'LV <br /> a4lV - is".V,5, <br /> v+ t o lig <br /> IL 19°� <br /> ® <br /> w • f) <br /> R1 fc�n ) ` eceived by ( atur (co pany) DateTime <br /> Relinquished by (Signal (company) Rived by ( nature) U <br /> (company) Date Time <br /> i <br /> Relinquished by (Signatur ) (company) Received by (Signature) (company) Date Time <br /> *Signature constitutes authorization to proceed with analysis and acceptance of condition on back Sample disposal instruction Q Disposal Q$2 00 each Q Retum to client Q Pickup <br />