Laserfiche WebLink
4080 PIKE LANE, SUI I1r L <br /> GTE* CONCORD, CII 94520 AND ANALYSIS REQUEST 1 5 <br /> 3Ylxf. f N Y i A O F!M E;,T (5 1 0) 685-7852 ..�...f-f K 1 ..... 1 <br /> ® AI ORhlORIE S. IN C. (800) 423-7143 <br /> Iirv�,'. k't8 � ..� F r9 ..♦'TtM y. .• <br /> v t 7 M <br /> r„n—parry Name: l Phone#: ,t t <br /> r Lb� PAX 4: �[�� —�-� p � p <br /> mpany Address: Site location: 1 ❑ <br /> v els LI,d i0 0 2 o <br /> )ject Manager- Client Project ID; (#) cj l `� bb I ^ Q�j �; + + -2 p <br /> ED.�tYaprvl) o a p © O n <br /> NAME , Sc� t Lr(�� N ❑ , , p p <br /> (test that the proper field sampling Sampler Name (Print): a ❑ o M p ❑ o J p E <br /> cedures were used during the collection LZ,T G p o A �r p LI u� a <br /> these samples. ��"�J(( ❑ o _o N a N a ❑ ❑ L <br /> F ❑ a <br /> oMethod u, m a m 0 2 <br /> n Matrix Sampling B 2 f� a a ¢ LL <br /> c Preserved El W w a=16(4 GTEL pz w <br /> C3 [7 p <br /> Sample Lab # w 0 a I <br /> ID (Lab use only) 3 W J o wwT o wo �, ” Q '0 o 9 <br /> 3 cn ¢ cn a- O = _ = U o�o m m x x b w w w w W w w w w r w 0 > t� <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> w 174 n.] ❑ GTEL Contact <br /> read(49 hf) ❑ ❑uofe/Contract N <br /> Af1 ,nsa Ds}fsQ .N Conflrmetlon k <br /> PO N SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot # Storage Location: <br /> o9s Rens_.-- -------—❑ <br /> OA 1 OC LEVEL <br /> UF ❑ C..L ❑ OTHER FAX ❑ Work Order✓f <br /> Relinquished by Sampler: Date 'Gime Received by: <br /> IJY� �2 �",- <br /> C U STODY Relinquished by: Date Ti a Received by: <br /> RECORD Relinquished by: Date Time Received by Laboratory: <br /> L <br /> Wa2 <br />