Laserfiche WebLink
� tt�l <br /> CHAIN OF CUSTODY <br /> H2OCEOL A GROUNDWATER CONSULTANCY DATE 08/20/01 PAGE 1 of 1 <br /> P O BOX 2165 Sample Source <br /> LIVERMORE, CALIFORNIA 94551-2165 The Customer Company <br /> Former Cheaperl #37 <br /> SAMPLERS) Gary D Lawe 15 East Granthne Road <br /> Tracy, California <br /> SAMPLER'S SIGNATURE MALYT E Y <br /> SAMPLE RECIE T o <br /> TOTAL NO of CONTAINERS Q <br /> U <br /> CHAIN OF CUSTODY SEALS O a V) <br /> RSC D GOOD CONDITION/COLD C— Z <br /> CONFORMS TO RECORD <br /> LAB NO O <br /> F- c V <br /> LL <br /> �. W O <br /> a_ Cr <br /> 1— Q m <br /> m D <br /> ED <br /> LU z <br /> _ o m <br /> co <br /> 1a- oo w <br /> SAMPLE ID. DATE TAME MATFUX t.A�IC1r <br /> 13/371MW-1 08/18/01 13:22 WATER X X 5 <br /> O13/37/MW-2 08/18/01 1343 WATER X X 5 <br /> 13/37/MW-3 08/18/01 12.51 WATER X X 5 <br /> 13/37/MW-4 08/18/01 14:15 WATER X X 5 <br /> 13/371MW-5, 08/18/01 12.30 WATER X X 5 <br /> 13/37/MW-& 08/18/01 13.55 WATER X X 5 <br /> 13/37/MW-7 08/18/01 1206 WATER X X 5 <br /> 13/37/MW-8 08/18/01 13:00 WATER X X 5 <br /> 10-Day TAT <br /> " --I = --T— I I ... I I —L— <br /> RELINQUISHEDBY RELINQUISHED BY <br /> SIGNATURE4 SIGNATURE <br /> TIME TIME <br /> PRINTED NAME Gary D Lowe 4V_ / PRINTED NAME <br /> H20GEOL DATE >-<,OGEOL DATE <br /> COMPANY 08/20/01 COMPANY <br /> RECEIVED BY RECEIVED BY LABORATORY <br /> SIGNATURE SIGNATURE Dv"\ Q <br /> TIME [� TIME <br /> . PRINTED NAME PRINTED NAME ��LIX 71+" �Y� zo B <br /> HZOGEOL DATE DATE <br /> COMPANY COMPANY STL Chromalab, Inc 08/20/01 <br />