Laserfiche WebLink
M 804C � <br /> Phone (617)886-7400 <br /> Haley&Aldrich,[nc Fax 61 686-7600 <br /> r 465 Medford St, CHAIN OF CUSTODY RECORD ��j�� P=ge of <br /> Spite 2200, <br /> Boston,MA 02129-1400 <br /> I3&A FILE NO <br /> 29626-001 LABORATORY Kiff Analytical DELIVERY DATE <br /> PROJECT NAME Penn Newman Gram Stockton CA ADDRESS 2795 Second Street,Suite 300,Davis,CA 95616 TURNAROUND TSM Standard <br /> PROJECT MANAGER Weidmana <br /> H&A CONTACT <br /> Jeff A Miller CONTACT Carol Malone <br /> Analysis Requested <br /> _ Comments <br /> r <br /> Number of <br /> ubo ,Precautions,additional metd <br /> Sample No Date Tame D Type Caatalan atmnumbers em)t = <br /> S V 0.— T a n d^ q Fa <br /> o liesble DLP CAM methods, <br /> Laboratory to use app <br /> Mw-i �-z..,, �, W .b unless otherwise dsrccted a( <br /> Y11 b .�?�7�- � `3t17�. 2 02 <br /> W- 3� � i3S 'ham 1 - - <br /> LIQUID Sampling Comments <br /> Sampled and]jrJyqvhbed by Received by <br /> �[ <br /> X x VOA Val v�t I_o cop Of <br /> SignSeg» Amber Glass <br /> Frani Haley aid p. h lite Feint f 1j} <br /> A.F � AF > <br /> Is-DitTorte Da Trine <br /> Recelvssf b '� 4M Winne u <br /> Retuagalshed by Y <br /> SOLID <br /> Sign Srga <br /> VOA Via] <br /> Print Prad r Amber Glass <br /> Finn Fniri Clear Glass <br /> Da Trim Date Torte <br /> PrOs"vah"° Evidence samples were tampered with' YES NO <br /> Relinquished by 96kod by <br /> Volume If YES,please explain ins EI=below <br /> Sign Sign . <br /> R,� , PRESERVATION KEY <br /> iPrint5�{' l <br /> Fmrti FirmVnpki-jam ftJA4,*-[ A Sample chilled C N20H E H,SO, G Methanol <br /> Da. Trtrie Date 0(cb" Trine( t B Sample filtered D HNO, F HCL H Sodn,:n Brsvl6te <br /> Premmvdve Certainty Data Package aAboratory to use applicable DEP CAM methods' Required Reporting Limits and Data Quality <br /> if Presumptive Certainty Data Package la needed,Initial ail sections Objectives <br /> 'lie iegwmd tranimum field QC samples as dcsrgmted m BWSC CAM VB have been or will be collected,as appropnale to eneN the rsquirerriepts of Pmi"' pt ve Certainty ❑ RC S1 Q St © GW l <br /> Aloins Spike(MS)samples for MCP Metals and/or Cyanide are included and identified hemm ❑ RC 52 ❑ S2 0 GW2 <br /> Thts Cham orCustody Record(specify) includes does not include sarMles defined as Drinking Water Samples <br /> if this Chain of Custody Record identifies samples defined as Drinking Water Samples Trip Blanks and Field Duplicates arc included and identified and analysis of TICS are nequu ed <br /> 13 RC-GWk 13 S3 GW3 <br /> as appropnate Laboratory should(specify if apphcablc) analyze hold for conitngency testing the Drmk,ng Water Field Duplicate and Drinking water Trip Blank C1 RC-GW2 <br /> samples <br /> WHITE Laboratory CANARY Prge[t Manages PINK Hairy&Aldnrh Laboratory <br /> GOLDENROD Halcy&Aldncb Cannel AUGUST 2003 <br /> Form 1003 <br />