Laserfiche WebLink
_ Page ( of <br />+ Chain of Custodeco>rd L,^`c� r` <br /> � On-site Time: Temp: Co <br /> Project Name IlOff-site Time: Temp: nM <br /> BP BU/GEM CO Portfolio: 1Z.'e-(e( Sky Conditions:BP c� <br /> Laboratory Contract Number: eteorological Events: -� . <br /> Date:� _ Requested Due Date(mm/dd/yy) <br /> .4ZMr.� VA't"" Wind Speed: _dnDirection: .®- <br /> Setid T0: BP/GEM Facility No.: Consultant/Contractor: 1y <br /> Lab Name; BP/GEM Facility Address:/ Jz_ Lr.! ddress: retsVsJ ALLZ• <br /> Lab Address; � �, t..t PL <br /> Site ID No. "66,0%�,t l L <br /> Site I at/iong: <br /> e-mail EDD: <br /> California Global ID!#: "l so 74Cf Consultant/Contractor Project No.:frT <br /> Lab PM: ", WGEM PM Contact: Consultant/Contractor Tele/Fa&L3bJ6764 <br /> fele/Fa Address: Consultant/Contractor PM: <br /> Report Type QLevel: 1 Invoice to: Consultant/Contractor or BP/GEM (Circle one) <br /> }3PIG1 M Account t No,: Tele/Fax: BP/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> 6] <br /> 'd <br /> INS' Sample Description Time g Laboratory No. Sample Point Lat/Lont;and <br /> m onNo 00 <br /> Comments <br /> citi <br /> s <br /> 2 c,.• Z v -off L( <br /> 4 t.-cI <br /> tt <br /> 6 e,i? DWI <br /> GOL7 <br /> 8 <br /> NOT I ACT <br /> 9C 00LIM <br /> T TITIN °c <br /> 10 <br /> Sampler's NamA77 ftelhiquhhed By 1 Affiliation ate i ime ecepted Hy1Afiilia Date im¢ <br /> Sampler's Company: / 3 <br /> Shipment Date'. �l <br /> Shipment Method: r <br /> Shipment Tracking No: <br /> Special Instructions: <br /> Custody Seals In Place Yes t _ W Temperature Blank Yes -No *r Cooler Temperature on Receipt °F/C Trip Blank Yes No <br />