Laserfiche WebLink
F <br /> SL roirA ANALYTICAL SAMPLE RJECEIPT-LOG <br /> CLIENT NAM <br /> C: DATE Received atTLab; { Drin <br /> *king wafer for <br /> RKC,BY(PRIl IAIR Received of Lab. �� relu g(Uryporposm y N �. <br /> WORKORDER. LOG IN DATE: Wakstmater for _ <br /> replataryptlrposes: YES HO � <br /> CiR0419TI. 9"PROPRIATERESPONSR LAB CQNTAmR SAMPLE DATE �y <br /> REMARKS. <br /> SAMPLE# # CURNT ID DFS CBiPTIGN MATRIX SAW1,,E31 C0XDIT Q-ff TQ <br /> I, Custody Sea(s) Pim-x }Absent <br /> dnlacl} <br /> 2. Chain-offs /Abseu[* r. <br /> 3. Traffic ports or <br /> Packing List; prw=t} itt <br /> 4. Airbil I: Airbill I Str er ; <br /> Preseast Alx9ent <br /> 5, Aitbi ll#: - - <br /> 5. Sam lo.Labcls: Abscat t. <br /> 7. Sample IDs: is #AlatIastaxl } <br /> Oil Cl1*L-0f-0lS! i <br /> 8. Sample Condition: lnli4 Broken-} <br /> 9. Does information on <br /> custody reports,traffic <br /> i rCp4r(S aad Sa.RIPIC <br /> labels a ? NOA <br /> 10. Sample xiYed-iidun <br /> k <br /> bo(d lime: <br /> 11. proper Fresm'adves = <br /> rased: es k <br /> 12, Temp Rase.at Late: <br /> r Eemp 4 41-20C? Yl o t<* <br /> (Aco:piaacc range for samples req `ren [;,M-} k' <br /> t�ENeep[ton(if any):McWs} FP oit ioq DFF no ic7o7 <br /> 'r or-Problom COC y <br /> �\L <br /> *If 0rel ed, contact Project Ala uager and Rftnch record of resol-ation. <br /> RepR 13ev1sTarr�.7O�rlt{a2) . Pa of,;c;:;<; <br />