Laserfiche WebLink
®Associated Soils Analysis CNAlN-OF-CUSTODY RECORD CUSTODY RI `ORD <br /> Send Results mad ' 1141 Batavia Court: AND ANALYSIS REQUEST <br /> _ Invoice to[ <br /> _ Tulare, Ca. 93274 ANALYSIS REQUEST <br />- 209) 688-1011 FAX (209) 688-1195 r� O <br /> _Project Manager ❑ ❑ ❑ m <br /> - <br /> pp m a O 1� <br /> - _ - A ,,Y14 n/ A- copLO <br /> ❑ ami 44 ` J <br /> !"1LGt DOS s3to 04 <br /> os� ❑a" zzA� � `,' _ a 'Project Address: ❑ p ❑ O ©m ❑ zO14CC6 <mLL o ❑ <br /> ProjecNumber Project Name It m p aN m E <br /> oK <br /> Go ❑m `'�<jI `I <br /> Y <br /> I attest that the proper field sampling Sampler Mame(Print) h N M 8 d ❑ r .1 <br /> procedures were used during the collection o m l o �' v a ❑ ❑ ❑ ❑ ❑ ❑ °- 0 o �' <br /> _ of these samples. '2a'"�a tj t-C � N o ❑ U 4 s ? 0 'L r �y <br /> o 0 u, 0 0 0 0 o a D N ❑ t <br /> ncrina T Ix m Matrix Method Sampling a� b m y aai 0 om 0 m m N o r- ❑ <br /> Number <br /> Transport z Preserved O c7 c9 p o ❑ ❑ ❑ D Q ❑ °' 2 : o m "- a <br /> p < 0 a. ❑ — 2 � N m O a u7 � m o � a 'Z' <br /> =6 Depth. Chest r cr 0 ¢ r ,r o u p a o n o r N cv 2 a H y -� a3� <br /> - <br /> Sample ID_ Temp z w w n W W w W X a _ 0 m m m w m O a O o <br /> Humber v a J cr X rf) ul z r g w w = o `° =° a ad a a a a a �y a m } d <br /> �► 3 O a i 0 x = T U z 0 ►= m iA I a ►°- r°- w w w w w w w w w v v cc oW <br /> ; <br /> Z_ -].S4 ' moo' ' j 3i�r, E E E <br /> V403- 3 1B.I3 i 3LJ <br />- - I <br /> SPECIAL HANDLING - SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ N <br /> EXPEDITED 48 Hours ❑ <br /> a A <br /> -SEVEN DAY I" <br /> •rs <br /> OTHER (#) BUSINESS DAYS L L L <br /> y i N N <br /> QA/QC CLP Level 0 Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location a` � a Q <br /> - - - (Specily) c c <br /> _ - FAX © Lot# Work Order# <br /> W m <br /> ¢ cc ' ¢ <br />