Laserfiche WebLink
� f <br /> C*Vhi 1 QUALITY ANALYTICS <br /> USH <br /> CHAIN OF CUSTODY RECORD <br /> 3paNUMBER PROJECT NAfAE, CLIENT ADDRESS AND PHONE NUMBER ,: FOR LAB USE ONLY. . <br /> CLIENT NAME O �# 1 <br /> ANALYSES REQUESTED <br /> FREQUESTED <br /> ECT MANAGER COPY TO _ <br /> A PROJECT NO <br /> Y S�[7Tr, ACK VERIFlED. <br /> COMP.DATE SAMPLING REQUIREMENTS A 0 I_� D <br /> SDWA NPDES RCRA OTHER n V QUOTES BS. <br /> N <br /> 11I] 13E Ati� � q . I <br /> C G S S d J N V VO.OF SAMP PG OF <br /> O R O M a Q a <br /> STA M A I SAMPLE DESCRIPTIONS <br /> NO. DATE TIME P B L (12 CHARACTERS) '1 V !� Q v REMARKS <br /> C?6=7 _. z9__ ... ._.-- - -DSS!�5 - <br /> x 1XI x <br /> - W/ - <br /> L <br /> XBY AND TIT D /TIM cj INQUISHED BY T TIM <br /> REEIVCD ATE/ ME R LINQUISIi6 BY: ATE/ IME COC V I ICF <br /> �•� RECEIVED BY: DATE/TIME RELINQUISHED BY: DATE/TIME U r�- <br /> C J SA�+IPLE <br /> N& <br /> J:, RE N BY IAB: DATE/TIME SAMPLE§AMXD VIA AIR BILL# <br /> UPS BUS J FED-EX HAND OTHER D 3 (J!0 7 Z <br /> REMARKS ENTERED COC.'. <br /> INTO LIMS REVIEWED <br />