Laserfiche WebLink
1AMONAL ANALYSIS RE ST AND Reference Document Ni <br /> cow�►o N CHAIN OF CU RECORD* Page 1 of <br /> Project Naine/No 1 r a3 [ • Samples Shipment Date Ahn Bill to 5 _ <br /> Sample Team MembersLab Destination $ S'qy l9 r m <br /> Profit Center Nos Lab Contact . __-- �[ <br /> 3 <br /> Project Manauelttr W4 o Project Contact/Phone 12 2 Report to 10 •' <br /> Purchase Di der No 6 VP6911A Camer/Waybill No 13 <br /> Required Report Date 11 - —� <br /> • • + _M <br /> Sample 14 Sample 15 Date/Time16 Contmeel Sampler Pro- Requested Testing 20 Condition an 21 Disposal 22 <br /> Number Collected T Volume aerwadw m R Rem" No. <br /> tj <br /> Ira <br /> iicc n 11m <br /> L <br /> n <br /> n <br /> 4 <br /> r <br /> N <br /> M <br /> ftv%W w a <br /> f0 <br /> m <br /> 7t' <br /> Special Instructions. 23 <br /> Possibleand Identification: 24 Semple Disposal 25 <br /> Non-hazard Flammable ❑ Skin Irritant ❑ Poison B ❑ Unknown ❑ Return to Client❑ Disposal by Lab Archive (mos ) m <br /> n <br /> Turnaro nd dime Required: 26C Level:27 <br /> Norma('A- Rush❑ 1 ll Q lir Project Specific (speciNl <br /> 1 Relinquished Date. u 00 1 Received by 28 Date, <br /> isiu�nr 4 Time. tsini Time o <br /> 2 Relinquishe by Date- 2 Received by Date <br /> ft-U—/Affilkstml Time. lsWlaa"lArfiiWaAl Time <br /> 3 Relinquished by Date. 3 Received b Date <br /> lswou"/Aifili m ) Time: l i Time <br /> Comments 29 <br /> LICA Wl"I <br />