Laserfiche WebLink
CHAIN OF CUSTODY RECORD BCA Log Number <br /> Client name project or PON Analyses required <br /> �� .�rt`.�L-tom '0 4��� <br /> Address Phone q � tT f'_�--. <br /> LU �� ,�P by W.E,S.T, <br /> City.State Zip Report attention <br /> ��• �� t� � �� m�cQcoi d8t� <br /> Q� <br /> Lab Type"Type" Sampled by Number o�r <br /> Sample Date Time See key of %4 <br /> �a <br /> number sampled sampled below Sample description containers L U <br /> 5� Remarks <br /> t <br /> z;; <br /> P- <br /> P-- -7 1 <br /> 1 r <br /> : a), hi <br /> �1Signature Print Name Company Date Time <br /> Relinquis <br /> Received by <br /> Relinquished by <br /> Received by �— <br /> Relinquished by r / <br /> Received by LK <br /> % S <br /> B C ANALYTICALtlx 'IV $IVNote:Samples are discarded 30 days after results are reported unless other arrangements are made. 'KEY: WW—Wastewaler SU—Surface Water SO—Soil <br /> 1255 Powell Street Emeryville.CA 94fi08 (510)4282300 Hazardous samples will be returned to client or disposed of at client's expense. SL—Sludge PE—Pelroleum OT—Other <br /> �] <br /> ❑ 801 Western Avenue,Glendale,CA 91201 (818)2475737 Disposal arrangements: NA—Nonaqueous GW—Groundwater AO--Aqueous <br /> {] 1200 Gene Ari y.Anaheim,CA 92605 (714)9780113 6 <br />