Laserfiche WebLink
( Advanced CHAIN 9F CUSTODY RECORD <br /> YkiGeoEnyironmental, Inc. DatePage ---L of_ <br /> 837 Shaw Road- Stockton, California- 95215-(209)467-1006-Fax(209) 467-1118 <br /> Tient Project Manag , <br /> � Tests Required <br /> Phone Number <br /> C);�') q6 <br /> Samplers (Signature) Invoice <br /> Drolect NameT571aaA-�L <br /> AGE Q' <br /> (�A (�J-4 6-1yo Lm—er Client ❑ <br /> Sample Location Sample Type Solid No of <br /> Number Description Date Time Water Air Conts Notes <br /> Comp Grab <br /> \4 1 <br /> 0�z ;r"4 19 <br /> I <br /> I I <br /> e inq a ignature ac e y atura atelTime <br /> h <br /> RelintshBd b 5i at re) R Rece ed by (S nature) DatefTlme <br /> t <br /> - L.A A Z 44"101 e's7k-" <br /> Rehn wished by (Signature) Rece1 a by Mobile Lagratory for field analysts (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received far Laboratory by DatetTime <br /> Method of Shipment La oratory Ne a <br /> � a <br /> Special instructions I hereby au rze thi performance of the above Indicated work <br />