Laserfiche WebLink
pf <br /> ERM-West <br /> Dale 9 rC�z We;allier � l�u� SL+N� y f'at�e L c>1 <br /> _, <br /> 1117 Batelho Dave • Suite 260 • Walnut Creek CA • 94596 • (415) 946 0455 Chain of Custody Record <br /> Job# /S7'1 -0 Colleclion GC GC/MS lnorq Other Remarks <br /> Job Location ccs ~ 5 o�k{�i �es�lfs Ta <br /> Sampler{signature) <br /> Printed name oµ e N U) <br /> Lab Report Recipient a 1e a �+ d ai <br /> Telephone No o m o n c <br /> .. pa <br /> ro O <br /> Receiving Lab 6 0 6 . 9'o 66 w y t c � � e � a �' � � 0 <br /> CL m 4 = Q 4. a 1 Z m <br /> Address ° 0 0 0 0 m ai <br /> 00 (V <br /> Co Oo 00 N Vl \ <br /> m N a u1 � — mw x U <br /> m E <br /> W-water C=comp c CD b a F- 0 0 Co N N Q m m <br /> Sample ID# Time s_SCIt Gs rab Volume 8 4 07 N aq (0 LO ra CO ' � � 3: z <br /> �y�55 x 00 ti <br /> WAR von kQ K 3 <br /> -s-z 114 ;D r6D w.p 1'I&I A l#AJo3 x t o 0�! a 6311¢ <br /> Mtn-1A -1 1007 3xyoq vocL Nep 3 <br /> AW-144- 100 7 " rki 0049 <br /> MW-t A-3 1 d o 77 014 d U o t <br /> ALJ 1 0933 5X Yom vty oc N cP ,� 3 <br /> MW 0933 M4 045 Mj ]� 1 Da <br /> Precautions Conc 0 LOO Med D HI Ship Via Total Number of Containers <br /> S mple Relinquished By D t Time Received By Date Time Reason for Transfer(List Shipping Bill Number) <br /> Comp A^` pany <br /> Company Company <br /> LABORATORY— Samples amp os amp es 8 o containers ontainor tags Q Cooler seals <br /> PlBa mQlele <br /> Intact 4°C of leaking lches C-01-C — — — m tch C-of-C — intact — — — — _ ` <br /> dab a ustodlan Signature �r ale— — —r Time Sample Disposition Q Return to Site 0 Discard Q Hold days <br /> — — — — — — — — — — — cul t�� ---i��4._.L. — ..._. . . — — — . — . . — . T. . — . 121 B9 DA 4 <br /> i <br />