Laserfiche WebLink
i owe m m- m. ow . .. .•� �---r .� <br /> -- <br /> _=CREEK . <br /> ANALYTICAL <br /> 18939 1201h Avenue N.E.,Sudo 101 -Bolhen.WA 98011.2569 <br /> CHAIN OF CUSTODY REPORT Phone(206)481-9200•FAX(206)485-2992 <br /> [Al"'DDRESS: <br /> 1ENT: �K-.E\ REPORT T0: 7�E <br /> �wrEc�E� SAIDAY (2-a MR.} R115N ( •1Sox) <br /> i 5-3 f! NE 9c.->;W Sr <br /> 1ZC[7MOn�p� Lt,la �f$OS Z <br /> NEXT DAY RUSH ( *t00X) <br /> BILLING TO: 2 DAY RUSH ( fes) <br /> 1 P.O. NUMBER: 3 z.S a4• Z4- 3 DAY RUSH ( •60%) <br /> PHONE: &04) FAX: NCA QUOT 0: S DAY RUSH ( •coz) <br /> I t <br /> PROJECT NAME: DiAmo,D L(,rna,fe -- Lori �!�' ANALYSIS REQUESTED 10 DAY STANDARD ( UST PRICE) <br /> PROJECT NUMBER: 3zso4, Z4 40 pIR <br /> 4Q COMMENTS i <br /> SAMPLED BY: N W lElrJL PRESERVATIVES USED LABORATORY <br /> .Z J <br /> SAMPLE IDENTIFICATION: SAMPLING MATRIX 8 OF MUNlER <br /> NUMBER OR DESCRIPTION DATE / TIME (u,S.0) CONT. � <br /> I w!-Lobi 4/ zL� X �p =A n- w�a•ujr- <br /> zZtIZ LoD 1 z 1.L1 �- X lox") ao -daLi:owe,.- z <br /> s5 - f'fzw LaDi X �� Ab- orozv,f- <br /> c <br /> s # <br /> d <br /> 7 <br /> I a <br /> 9 TOTAL t OF CONTAINERS <br /> 10 RECEIVED? <br /> RELINQUISHED By: _ ., DATE: —RECEIVED BY: DATE: Of-OT •Q?� <br /> FIRM: szr, TIME: Z. 30 FIRM: TIME: # ; <br /> RELINQUISHED BY: DATE: RECEIVED BY: DATE: <br /> FIRM: TIME: FIRM: TIME: 1 <br /> SAMPLE RECEIPT INFORMATION: TAINER CONDITION?: GOOD VIOLATED COOL ( 40 C)? YES NO 1 <br /> CUSTODY SEALS? GOOD VIOLATED NOT USED HAZARDOU PLES7: lE0 ES; DESCRIBE ON BACK PAS r I OF <br /> � I <br />