Laserfiche WebLink
I 1 1 1 I i <br /> I <br /> North State Environmental Analytical Laboratory <br /> Chain of Custody/Request for Analysis 6'g0y (415) 588-9652 <br /> Client:-51 qx C' Phone: <br /> Report to: Turnaround Time <br /> i-spy-Y3 u er - cC <br /> ST �4r� <br /> Mailing Address: billing to: <br /> 47 /I a •F-�tC • R Hr 24 Hr <br /> 17-_l fet,sl' S7 <br /> o et c C O� <br /> Site Address: .� 40 Hr 5 Da s <br /> 3 Gl/ J71'— ('A POH / Billing Reference <br /> Sampler: Date:/ - <br /> L-u ,e`# Other <br /> Sample ID: Sample Description Container Sampling <br /> k / type Time/Date TPH-D TPHG BTEX O+C <br /> z <br /> Remarks <br /> fir d f � llf 4 fuss o �l-vC h <br /> ` � r <br /> X ha/Q -per odd, nal sI <br /> Sun da c� QA re ,-i <br /> Relinquished by: Date: Time <br /> Received by: Yes No <br /> / <br /> Relinquished by. / Date- Time Re ived by I " Were samples <br /> '"Q_ { Preserved ? <br /> Relinquished bp: Dal <br /> r <<. by: i/ canoed <br /> �L� condition 2 <br />