Laserfiche WebLink
:�"- _,¢..�--"-�a;,.�—'rte+" _ _ ft=–•-.–,..,,�'•_fir. � e--'xtaw-:ter= <br /> - 'a` <br />�,x}0 '` .+. � Y •�' ,. �,,+' tt„a�s ic <br /> � -� -..'his-� '�.., '4`�.. ,r�4 �::i.� _ 'xy �'�+� *�r� .4, „��+'�'S";t'.���, � ria z�Y .' i'�•I <br /> KAPRIEALIAN ENGINEERING, INC. <br /> �' CHAIN OF CUSTODY <br /> --tT""'-- -- --�— — ANALYSIS RtoL*STID� � —{ IURM AR"D TIKE: <br /> t✓` I <br /> Sl I[ NAME i ADDRESS I I <br /> IWIIMESSIWG A 41r I ��\ ����\�``�• I l ! ! { I i I I <br /> 1 jqI X11 I I i 1 I <br /> � ENAlers ! <br /> I I I E of j SAMPLIMG { <br /> SAMPLE I l I LGCAtloil <br /> ! ID R0. I DATE I TIME SOIL jWATERjGRABICOKPIEOHT.I <br /> �•--�—I I i `f. ! I I I I I t. o � � 1 <br /> � q .�r��i <br /> I <br /> Las <br /> �'11-NY <br /> � t [v U L fv Y 3 + <br /> I <br /> �( &�'�( I <br /> lC7 16 ( b � I <br /> The following MUST BE cn,pleted by the laboratory accepting sanpEes ! <br /> Datc/Time I R ived . (signature) i ! <br /> el( Shed by: (Signature) I f For analysis: <br /> k4l%%) ±d• t q;Of I f IA (L� �--� 1. Have e(l swples received for ysis been stored in ise <br /> (Signature) I Date/Tice I Received try: (Signature) I <br /> IRelirwis by: I } 2. Will saVtes remain refriger�tit enotytr*17 <br /> 3. Did erry saaples received For analysis have heed Space? ! <br /> Date/ Received by: (Signature) l <br /> IRelirtquished try: (Signature) I I I N <br /> { { { { 4. Were smples in appropriate tamers and property PackA2CCP I <br /> Date/Time I Received by: (Signature) + <br /> ;Relinquished by: (Signature) I } `��• <br /> I i { Signature Titie Hale <br />