Laserfiche WebLink
---- ! N Page of <br /> Please send analytic results <br /> '� r• �, .r t-'r` and a copy of the signed chain of custody form to <br /> M�WIEISS ASSOCIATES �:ay�. SJ - T• ; • }. <br /> 5500 Shei(mound SL EmeryQUIC CA 90608 <br /> Phone. 415.3413420 FAX 4133473043 - f <br /> Project to: �u —33 ,-, � <br /> CHAIN-OF-CUSTOOY RECORD AND ANALYTIC INSTRUCTIONS Lab Personnel: 1) Specify analytic method and detects.-n Ii-iit <br /> `,-- In report. ' - <br /> EWA <br /> f Q 2) Notify us If thore are any anorralous pea<s <br /> Sampled by 1 ' laboratory Name. a �i` on GC or other scans. <br /> 3) ANY QUESTIONS/CtARIFICATiONS' CALL US <br /> No of Sample 10 Conta#ner Sample Volt Fila Ref4 .Preservative , Analyze far " Analytic _', L^�` Turas COKE:4T5 <br /> Containers Type Date .(specify) L �� Method <br /> Hold PA N 0'0a 811 <br /> 11 a ht � w <br /> •V � t -' 1 ' t d. <br /> t <br /> I ` ` <br /> ti A 1 <br /> f Ly <br /> — K3 <br /> 19.4 <br /> 1 3 r ��^ r '� � 'L ,�r 5__ J'�►�' , //��—'lam/, <br /> Released by (Signature), Date Released by (Signature), bati Released by (Stgnature),.Date ' <br /> Affiliation Affiliation ` ' Affiliation — <br /> 4 `�•ii it 91:.i s • ,x e <br /> Received by (Signature), Date Shipping Carrier, Method, Date ri 'R eeived by Lab Per nhal, Dat Seat :ntac 1 <br /> r <br /> ..G��f r <br /> 24 <br /> Affitiatfon Affltiatla �i'�' , ` Affftlati m, Telephone - <br /> 1 Sample type Codes: W = Water, 5 ; Soil, Describe Other; Container Type Code$tr�V�= VOA/Teflon Septa, P Plastic, C or B - t;learLBrown Glass, Describe Other, <br /> Cap Codes: PT a Ptastic, Teflon tined 2 a Volume per container; 3 = fitterk tYIN)t 4 = Refrigerated (Y/N) 4`1 <br /> 5 Turnaround (N = Normal, w = 1 Week, R a 24 Hour, HOLD (write out)) r ' <br /> AOOITlCHAL COKKENTS, CONDITIONS, PROBLEMS: ' <br /> YY <br /> F.IALLIADNI9\F0RMS\COC.WP2 ter ' 0 Weiss Associates 02/15/90 <br />