Laserfiche WebLink
SPA RGER TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory 66A Phone:(916)362-8947 C.O.C. No. 13404 <br /> 3050 Fite Circle,#112 Sacramento,CA 9582 FAX:(916)362-0947 Page___L_ of STAL Invoice Number: <br /> Company: D �r �n S ,,�eS Phone: �-" 8 6 �n ANALYSIS REQUEST <br /> n <br /> Project Manager: ✓ CrJ/n, FAX: REMARKS: ( / Sampler's Name: <br /> `J <br /> Report Address: Billing Name&Address: ` .v G�� ✓"""�lll <br /> All None Some <br /> Project Name: i i rT ra. Project/Job#: OK OK OK WET STLC <br /> d Cooler Temp. °C <br /> Project Location: Po.#: Sample Condition TCLP <br /> pH <br /> Preservative TCLP Total <br /> Sa pling Container Used Matrix TAT <br /> L <br /> O N <br /> Op a0 r <br /> 0) O C <br /> t <br /> U) i[l r N a <br /> 000 2 LO 00 Z N <br /> OV 0) O IL co <br /> L <br /> N — O ;O N 2 a V t <br /> LO <br /> O N O a U m C\1 � U <br /> LA O O N U V in <br /> O N (O = O_ 0_ LO iN C0 y () <br /> U w O U l cuD_ O O O O O O ail F0 y Y <br /> Od N 0_ O 2 W 000 m 000 acli No U d 0) > °) <br /> U to <br /> J Z Q. 0) O O O O N N O U r 0) <br /> E N E E _ x a co co cD co co m 0 n. c o a) <br /> E m `� o t c L — w w 2 Q Q Q Q Q Q �u c c n - <br /> NO. SAMPLE ID Date Time m J "' O z z° o cn a o CO mIL w w w w w w z o v v rr _ <br /> 1 a <br /> 2 7- <br /> 3 <br /> 4 <br /> 5 $ <br /> 6 (� <br /> 7 ^ /� <br /> 8 6 <br /> 9 Y ,(3 <br /> 10 5C <br /> Relingu' b ?i' Relinguished by: Received by: <br /> Date: Time: -Z a Date. ime: Date: Time: Date: Time: <br /> LE READ REVERSE SIDE FOR TERMS AND CONDITIONS <br />