Laserfiche WebLink
• • 9r� 0� 0 � <br /> CHAIN OF CUSTODY <br /> SAMPLER TOSCO ANALYSES REQUESTED <br /> S/S # 5;?.?6 CITY SAC-4-A TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS _ , /�Qrd <br /> SAMPLING Cy+� <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION AQ REMARKS <br /> ✓a X 05 208 <br /> s z K X 705()20.4) <br /> c s 3 X <br /> P050210 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> V94 4 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? S <br /> (SIGNATURE) S S -1 - 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> �/A� ie 7M, xzz 6�� <br /> {SIGNATURE} {SI N U ) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? P'JO <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE} {SIGNATURE) SIGNATURE �` TITLE DATE <br /> o' ^~�� 5!i L,111- 5" T 7 <br /> Note All water containers to be sampled for TPHGIBTEX, 8010 & 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other contalners are <br /> unpreserved <br />