Laserfiche WebLink
CHAIN OF CUSTODY ?,No.0 <br /> 5 5 9 5 4 Page of. <br /> CONSULTANT'S NAME ADDRESS CITY STATE ZIP CODE <br /> ; <br /> BP SITE NUMBER 9P CO ADDRESSICITY CONSULTANT PROJECT NUMBER <br /> I 11. 19 S 1 v - 151 - ov]-u� <br /> CONSULTANT PROJECT MANAGER PHONE MBER FAX UMBER CONSULTANT CONTRACT NUMBER <br /> BP CONTACT BP ADDRESS PHONE NUMBER FAX NO <br /> LAB CONTACT LABORATORY ADDRESS PHONE NUMBER FAX NO. <br /> SAMPLED BY(Please Print Name) SAMPLED BY(Signature) SHIPMENT DATE + SHIPMENT yTHOD <br /> r-7 <br /> 3[...✓ 3 �' I GPC <br /> AIRBILL NUMBER <br /> TAT: ❑ 24 Hours ❑ 48 Hours ❑ 1 Week `;i Standard 2 Weeks ANALYSIS REQUIRED 0 1-5 2� <br /> CCLLECTVON CONTAINERS PRESERVATIVE Ii <br /> DATE MATRIX COMMENTS <br /> SAMPLE DESCRIPTION 501VWATER TYPE LAB <br /> COLT�CEICN NQ (VOL.) SAMPLE# 1►+'�( � <br /> -Z z3 ` V�p <br /> 5� z5p <br /> 5--9 ?oto <br /> 10 <br /> 5--- IL41 0 <br /> $ 2 <br /> ADDITIONAL COMMENTS <br /> RELINQUISHED BY 1 AFFILIATION HATE TIME ACCEPTED BY/AFFILIATION DATE TIME <br /> 36L <br /> /� 30g, <br /> VL <br /> Ci 16:22 Distribution: White-Original (with Data) Pink-Lab <br /> Yellow- BP Blue-Consultant Field Staff <br />