Laserfiche WebLink
Geliler• - Ryan Inc. Chain of Custody <br /> E N V I O NM ENTAL DIVISION � / <br /> G '1 _4+� isr_c�,%�� C G <br /> COMPANY-------,- __ _- tG r ----- �._- ._u_.J08 N0. <br /> �ksf:: LOCATION -_-__-L / --.-------L_.�- �---_I_.�_.•_,�/__ _—._ ___ --- - - <br /> __._...J PHONE N . -- <br /> AUTHORIZED_.-_.-_-.'7eyL._.._CC+v -- _�_.-----— DATE _._(`�1� 7 -- P.O. NO. <br /> SAMPLE NO. OF SAMPLE DATEITIME SAMPLE CONDITION <br /> ID CONTAINERS MATRIX SAMPLED ANALYSIS REQUIRED LAB ID . <br /> 1 7l �,��3 --- 01 A - F. <br /> ���-G� --- --= ---- ,:3 -rO, /V 78i_7 d 3a-F <br /> _71 ME <br /> •r <br /> RELINQ;R;E <br /> D RECEIVED BY: <br /> QD BY: RECEIVED BY: <br /> RELINQUISHED BY: — RECEIVED BY LAB: <br /> ;' -17--1 <br /> O <br /> DESIGNATED LABORATORY:-__.—/ / ,�/_�_.__ -_� __ DHS -- <br /> REMARKS: -------- - - - _- -- --- --...__��_—_ <br /> .7 <br /> DATE COMPLETED _ 17� / FOREMAN -_ �t -- <br />