Laserfiche WebLink
C E V V C A '� f CHAIN OF CUSTODY . <br /> PRECISION IR©—TECH AND ANALYSIS REQUEST DOCUMENT <br /> hit: // www Precision Lab. Com <br /> CLIENT DETAILS 1 1 INFORMATION <br /> _ Rush Analysis: 5 Days _ 2 Days_24hrs <br /> Client: RV —T0 t- SDC-&LTO 7Sampler(s): tilt�G� Fc4 <br /> Subject to surcharge <br /> Customer Number: Comp Sampler Set Up Date:— Time: QA/QC report required: yes_,[_ no <br /> Address; Time: Mileage: <br /> If yes, To: State Client Other <br /> Lab number: C 4-r Y C 1 <br /> Phone: r) <br /> � _ x <br /> f . <br /> FAX: e a �x <br /> a c <br /> Project name: ; C� ! d '2 g r <br /> Contact person: 12". t 1'1' �1 I ti� 11 l U 150 l� d a <br /> U ❑ a 1 m ri V 1� v �... <br /> K z <br /> eu 0. v <br /> �2 U firo �? <br /> SAMPLE INFORMATION <br /> Sample Date Time d a �, <br /> X.OGatiOri Description a o U <br /> Number P Sample Sample ' c?y a <br /> K <br /> i. <br /> ' CUSTODY <br /> Relinquished by: Date Time Received / Date nf Relinquished by: Date Time Received by: DateRelinquished by: Date TimeReceived by: Date <br /> PRECISION ENVIRO-TECH 2040 E. Harding Way Suite B * Stockton CA 95202*Telephone(209)462-0892*FAX: (209)462-7935 <br />