Laserfiche WebLink
CLIENT CHAIN OF CUSTODY RECORD <br /> NAME vi &J- REQUEST if R ANALYSIS <br /> ADDRESSJf DATE t PZ V !�� Wright <br /> lit <br /> PAIGE 11 OF � $, Environmental 209 833 0758 • Fax 209 832 5152 <br /> PHONE NO FAX NO Services,Inc. 67 L 10th Street •Tracy,CA 95376 <br /> t%ROJECT NAME C&X GD + <br /> SEND REPORT TO # `t i ^4i,,A _ ( <br /> i <br /> TURN AROUND TIME ANALYSES REQUIRED <br /> S PIER NAMFISIGNATURE NORMAL <br /> RUSH ❑ N N O� �� Q <br /> � � � $ LU <br /> SAMPLE SAMPLING PRESER CONTAINER SAMPLE DESCRIPTION co $ o S n Q t-1141 CL <br /> NUMBER DATE/TIME VATIVE SiZE[TYPE WATER SOIL OTIIER '� $ "' v �`- <br /> Pb --I0,-(0e Z( glm/0 i fi,o( <br /> l'l3 - r9 -ZC `llzolvl OWN / <br /> a 49 , 3e1L q (wloI' vs-5-o <br /> -f /zVA) 0,65V <br /> Pa - W Z, q I7,0101 64,6 / <br /> f3 !Ci- (a e * q lz-r1/vl 072 l � <br /> pa- Z6- 'r ( C' qf z,()fai rrfv <br /> 1013-20-2'a 1z' q/;wAi 10-z <br /> - 10-3 0-(6 4(z 4)1 1r05- <br /> I Ax <br /> P r3 -Zp-S c L, WU 10 r I 130 <br /> COMMENTS �D�Q.Ev3-C a"'Mj r T/f~f Lt 13 TC->e M-M C w/7A'u r , 773 Ej d I PC <br /> M-f�C t-oY-y5 b y 5-2-60 <br /> 60 q"Aa(r c Pt-, CA^ <br /> RSIMP P9na re) a c ived by nature) ate U) Relingutshed by (Signature) Date Received by I[Srgnature) Date <br /> Company Time Company Time Company Time Company Time <br /> Gt1r1 ! "C-� 5 et, <br />