Laserfiche WebLink
CHA <br /> IMEG"176 <br /> 10500 UNIVERSITY CENTER DRIVE ' AND'ANALYS S REQUES ORD <br /> 24513 <br /> 513 <br /> TAMPA, FL 33612 <br /> IHYtRONMENTAI (813) 9799092 <br /> LABORATORIES INC- <br /> Ictropany Name Phone# <br /> vzwz� S ", .�r- , Q <br /> FAX# ❑ ❑ <br /> :pmpany Addres f Site location U <br /> ❑ <br /> ro ct Mandger /Client Project ID (#) G LOU ❑ <br /> till TL Q N fG <br /> Irl ED <br /> = Q r Q <br /> NAME A ❑ ❑ z z ❑ o ❑ ❑ n <br /> attest t at the proper field sampling Sampler Name(Print) ❑ (0 E ❑ ❑ 4D E :� ❑ <br /> "Quires <br /> 3 0. o ❑ 9 O .J ..i a J c c <br /> ,roc were used during the collection i <br /> f these sam les '� r 1\k) o S � 0 a - 0 2 o- <br /> a a ❑ <br /> w ' Method o c; " W V N `� a `s <br /> t or N y NJ Q 9 Gb CO m m O ❑ Q O w /( <br /> Matrix Sampling m �, a a m N <br /> Preserved a. w © w a a o ❑ ❑ y ❑ a ❑ <br /> t�s� Field GTEL c ❑ X a C ❑ ❑ w w no a s n y N ❑ cnc ❑ <br /> �a + Sample Lab w � N � � � � � ,� ❑ ❑ ❑ 4a ❑ � � � � J <br /> p 0 ¢ C7 b rL N o N N X °' " H <br /> > ,x I {Lab use only} � � � fig = do wr �' � �, � � � � � � oa o <br /> ? 'k a 0 tt -J ¢ r v z W �a a ro a o a ¢a a a a a a a a s <br /> 3 Q <n o. 0 x = 2 v a o�'O - m m z z 0 I- w w w w w w w u.r w r w 0 0 0 ! <br /> •� Y <br /> iZNa 1XI AJ Z i i 171 , <br /> 1-f 41 0A <br /> ti <br /> J r t <br /> �FP � 1• ^k �t�1 � 4 1! \' <br /> 2— <br /> TAT Special Handling SPECIAL DE ECTiON LIMITS REMARKS •~ <br /> 'rlofltY(24 hr) sl'� +`r,> 4 �,' til t ~� <br /> ❑ (3TEL Contact �� 1�j3 l �\ I r <br /> ;xpedited(48 hr) ❑ Quote/Contract# f o d <br /> 7 Business Days ❑ Confirmation# 3 l � <br /> ]them PO# SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage LocaU n�"- <br /> 3uslrress Das ❑ � L � /'-ry <br /> QA!QC LEVEL <br /> SLUE❑ CLP❑ 0TH R FAX Work Order# ,�i' <br /> Relin uls ed by Sampler Date Time Rece�ved by <br /> .4,1.E ! ;+n1I 6 ,i/ /• 1 ) 7 I <br /> rf.�.r�..�.f J� - t 1f r �r� <br /> CUSTODYDat Time Receive by <br /> RECORDReli quisedy � <br /> / Date Time Rec ved by Laboratory <br /> s f � <br /> Vti' r_.{/'�'\ i ( � Ll fU +Weyt;ill� AI <br />