Laserfiche WebLink
i W i <br /> f <br /> I <br /> 4080 PIKE LANE,SUITE c HAIN OF-CUSTODY RECORD IR1949 <br /> F ,�T E �. CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> fNY1.ONYlMt 510 685-7652 -i <br /> ttt� t..U.A1011 s INC 800 423-7143 1 + 111141,11111111111 <br /> Company Name Phone# (916) 372 -4700 <br /> Fluor Daniel GTI FAX# 916 372-8781 ❑ ❑ + _ ❑ ❑ Lk <br /> Company Address 1401 Halyard Dr.Site Location qST&'k4LJ" LD v ❑ D o <br /> Ste. 140, W. Sacramento, CA 95691 � "�" ° ° ° m to Q }-1 <br /> Projectanager. Client Project ID (#) �Ft'" © m N to a_ 0 F a <br /> Store 1r"— ❑m m i o -� <br /> Jaff le STHL 02070 ,m a ° ° ❑ o o © ❑ � ❑ ° °C ILI <br /> t anbst that the proper field sampling Sampler Name(Pnnt) IL o)o o ❑ S ❑ ¢ a a m D c! <br /> procd'dures were used during the c7 © N ❑ ❑ +n ° a° N `s <br /> collection of these samples �`�^^Tr W�`A = Sieve. S + ^� <br /> "' ' C 0 Q a n ❑ a <br /> k °o M N to a O N N <br /> Method N o v 0 D D 4 ' c " O <br /> Matrix 5ampilg �, <br /> Field QT�I. i Preserved a n o w Lu sg ° ° o ❑ <br /> Sample Lab# a w c�i +r D C7 11 © <br /> ID \\ ab Use <br /> o <br /> co cc a X <br /> 3 w <br /> 3 o <br /> cc <br /> y i s O w w w w wonly a o_ tw, <br /> �' r •e� ��F'�1 1 f ti 1 }� E � � � � � � i ��� �N✓� `E 't� r s h� � �'�� i, 'c t � t��t;t�lY � ,��``�' +i _ rI �c t� �'.r e <br /> MW <br /> Lpzr4y Y'61+" 'r S+ •H i t r Yyf ,'` s r {`s it a; fir ��+ rj - R. <br /> 1 <br /> P �r <br /> -,'t: <br /> tt �r�• r +� lyl t�tlt 2'�=1i�� I r k s +w >s 4 t / i4 F 7�r3 tti' i'p 'z° ,R7 y FI. >rf <br /> 4SPECIAL <br /> ii7 71 l , T,pj� Il� ,1� f'4t I lop <br /> IIN`� ' i �FN��/4T� Special Handling DETECTION LIMITS • "� REMARKS , <br /> Priority(24 hrj Cl OTEL Contact i <br /> Expedited(48 hl ❑ Ouote/Contract# ' <br /> 7 Business"eye ° Confirmation# <br /> Other f SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# !p� Storage Location <br /> Business Days D P,0 # ! ` <br /> f --;-w <br /> OA/OC Leve! <br /> Blus❑ CLP❑ Other❑ FAX❑ Work Order# <br /> Relinquished=! Date Time Received by <br /> ,CUSTODY Relinquish <br /> Data i e <br /> Time Reced by + <br /> RECORD ��" 1 •fib <br /> Relinquished by iate Time , rR"v4d by Laboratory <br /> 1 ( r/p ova bill# -� 03 ��/z 42 S _5 1 <br />