Laserfiche WebLink
s3 } <br /> CLIENT /'cCHAIN OF CU�TODY RECORD <br /> rated <br /> NAME: W ' ' REQ(�UEST�OR ANALYSIS i C K Y Analytical <br /> Lincorpaboratories��,C Anai'ytical Laboratories <br /> ADDRESS: -3 Q I3L V DATE: _ b30 Maple Ave. <br /> /1 ,��}} Torrance.Calif.90503 <br /> �/�� � � G fT � C73 PAGE_OF Tel: 10-618-8889 <br /> PHONE NO. ( FAX NO.�{-5�7 e 7 , - 1 F.. 0.618-0818 <br /> PROJECT NAME: 4' i -ply-D-001a ; 0#601a <br /> SEND REPORT TO: ) <br /> rJ_ e TURN AROUND TIMEANALYSES UI D <br /> SAMPLER NAME/SIGNATURE NORMAL;' ❑ En <br /> �LE RUSH ❑ N N r <br /> SAMPLE SAMPLING PRE R- CONTAINEK SAMPLE DESCRIPTION <br /> NUMBER DATE/TIME VATIVESIZEffYPE WATER SOIL OTHER156 <br /> M co 00 U <br /> 3 C - Af - - <br /> f _ _ <br /> S --j _ j_y rr it <br /> A <br /> ,- <br /> a <br /> r / <br /> t�0f_!7 <br /> COMMENTS: Sfji'1�c�$ -L)0,'V0T ,9/,�f31-`Z6.9T TH/5 T//'?E - CO,-tT/7,fT t N(6 D6kLP7"L `79--2 37,;Z <br /> Relin ' e b V ( ig ture) Date:G ce d b Si atu e) Date: a anguished by: (Signature) Date: eived by: (Signature) Date: <br /> 1-10,4W <br /> Compan _ Time: pang: Time: Company: Time: Company; Time: <br /> Ir <br /> Siorage/Disposal of Samples: Sample will be stored at CKY for days at no charge and at$101samplelmonth thereafter. Disposal of sample by the Laboratory will be charged at$101sample. <br />