Laserfiche WebLink
An Employee <br />AdvancedGeo <br />-Owned Company <br />CHAIN OF CUSTODY RECORD <br />DATE: I PAGE 1 OF <br />Phone: (800) 511-9300 <br />Fax: (888) 445-8786 <br />I <br />/ ''s "nn Analysis Required <br />Project Manager: <br />—Tirq ett- (-1--UE I L <br />VI <br />Project Name: i. , <br />L.-1-014 4t.d_c,.?.. r te)-144/: tei <br />Email: 4 <br />Cliel: <br />ewia...0 <br />Sample <br />' I Address/Location: <br />/60.56 6444 _cL4z.--kk_ (p Lab Project No.: t...,‘., <br />L <br />Sample ID/Location/Description Date Time Matrix # Notes <br />'SS -^q 71--/ (1-2-1025— 6) ' • 2. e, p/g t-,-, , j - 1-1-Pe..11 -Frt.-n1 ei meg-.1 _ <br />s p-( awls-7 ,14.27.. 5 fp 4 • 47. ._. 414110141e41 - <br />5 P.-2._ ..... g _ )/' 169,c) 's 1 d,thm f a4?-& <br />Xleli <br />...,X...... <br />1 <br />t" ., <br />- Relinquished . Date: , I <br />.;•)-112-2 I/ <br />Time: <br />*10 <br />Labora. Ty: <br />- Ot ite I ofi___ . <br />Courier: <br />, it P 7 <br />Receive . <br />s 'X <br />I <br />4.... <br />Date: Time- <br />Relinquished by: Date Time: Received by: Date: Time: <br />Relinquished by: <br />-----r-------1 <br />Date: Time: Received by: Date: Ttrrie <br />., Matrix Codes: A = Air W = Water S = Solid Requested Turn Around Time: c......_2,1hours_ 48 hours 72 hours 5 days Other: <br />,pits5;117;e'L s to lob::,),./ Sp --, ( ...— s'f--2- _. apti) Global ID: <br /> <br />Authorized AiCla. Luie/;,„, - / , , . ,, / , . <br />it-tz.--- u--',,, <br />o/14 kr <br />---r/hfr +0 I deriti.Pesff-?-- Aettivr5cWidi-i)fira,C44-r7