Laserfiche WebLink
LAk <br /> ASSOCIATED LABORATORIES CHAIN OF CUSTODY RECORD <br /> 806 N Batavia•Orange, CA 92868 <br /> (714) 771-6900•Fax (714) 538-1209 Date a age of <br /> OF <br /> CLIENT f w A� <br /> ADDRESS ~ t PROJECT MANAGER Samples Intact Yes Z No <br /> PHONE NUMBER O *unty <br /> Seals Intact Yes <br /> mple Ambient_Cooled Frozen <br /> PROJECT NAME SAMPLER Si a e me Day 24 Hr <br /> Regular�48 Hr <br /> SAMPLE LOCATION MPLETYPE <br /> DATE TIME NO OF SUSP TESTS <br /> NUMBER DESCRIPTION WATER AiR SOLID CNTNRS CONTAM REQUIRED <br /> av <br /> -f wul 17 <br /> 101 715-t <br /> D <br /> t � <br /> 1 � <br /> Relinq s ( ignature} Rec ed by (Sign r Date/T � �,� I hereby authorize the performance of the above <br /> z / j �j ' g —� indicated work <br /> Relin he n Received by Lab a y fo7analysis Dat e/Tir e <br /> (Signature} <br /> Special Octions v f, <br /> DIST BUTION hits lith repo ow to V, <br /> Pink to Courier <br />