Laserfiche WebLink
N <br /> w <br /> 0 <br /> oq <br /> n AL CChem ++35W&W81 810 Sullen <br /> n*ckirn,CA W65 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST o <br /> Environmental Lata Ph:916,543.4445 Fx:916.543.4449 <br /> e PraiK!Mar,azjer.QanCrawford PhWe h.661-2.46,9109 Electronic Data Deliverables Request; Email Address: <br /> Q �X .RDF <br /> la lel.crawlord@dteene .C4m s � <br /> GeotrackeriwNiol mgy,noarnoftene.rQ aam w <br /> CampavWAddross:DTE Stackton.LLC,2526 W.Waehlnpton Fax 4:209,320-3M Olher ia.++. ry don iji.Nldebrand. dloons re nv cpm y <br /> St..ROM.CA95M kurl.christianOdteeneravzom o <br /> ANALYSIS REQUEST NON-STANDARD Page_1 1 <br /> prolbCl Nurnbad PURCHASE ORDER#4701052861 PqrIMMA. <br /> AM <br /> a m <br /> O <br /> 1711052 ve Dare <br /> � A <br /> . <br /> Sro[od1 LucatbR:DTE Stoddon PIA1t Sampler Slgealure: a <br /> r + l r l l l l Work Ortl�r � o <br /> x a <br /> r m m <br /> Method <br /> Sampling Cantainer preserved Matrix m �� <br /> 0 <br /> Sample10 s <br /> °° IDr <br /> C> Date Time a a a o �? <br /> o s _jg k 0 . Q n1. J N y ro <br /> o LAB U91i <br /> A t4ONLY; <br /> h <br /> W CFA CT 2 4;54 K Ix ix x x I I I I I I I I I 1 17 <br /> Fi <br /> � Z � <br /> J. <br /> y .. <br /> V U U U <br /> GJ 4J 4J <br /> W O O O <br /> R R R <br /> Relinquished by: Date Time Received by Remarks]Cortdiiion of Sample: <br /> � �� ?//16 <br /> Relinquished by: Date Time Receiv by Laboratory: <br /> Bill To: � .@ <br /> t <br /> E <br /> aso 2 <br /> a ; i <br /> x � U <br /> _ <br /> o oU C6 <br /> O J <br /> W U U <br /> Q N V1 iC <br /> • w <br />