Laserfiche WebLink
ColvcoRo cA s2a N us r A 9"312571 <br /> , ,�„ ,,, <br /> (510)665-7852 ' AND ANALYSIS REQUEST <br /> �r 1•M..w�n� =■e (800 423-7143 <br /> Company Name / Phone 00'r-') <br /> �rtaE.+.l�ra,►.Prl�! ���..v Jo .� 'r"-kFAX 0. kollr 3 2. -toS-C I I <br /> Co par7y Address , Sits Location SeoJl s fi rk an CA M u i <br /> 7 :E, <br /> SO, 7'C NA rre- sr•I rC ?; l c ! i.- m I = r p <br /> a SHTLk Cr7 <br /> Prosect Manager Client L <br /> roL50 1q I r <br /> SIL r] ro `q m m z pl *' v �, <br /> I <br /> I atlesl Thal tho proper fleld sampling Sampler flame(Print) r ,c e e�, � � Q IA rn � , o � 1 I � r � Q <br /> procedures were used during the J�i � N b ❑ r 1 n 1 1 0 � J D a � cs " I <br /> cabla^tlon of these sam tes c U a `� I� r tom- `� N E ^ L <br /> C, <br /> Method �> m a m d ca CL I 4 u <br /> rn Matrix Sampling g „ EE z o o h �) > q S <br /> cc _ _ Preserved CO -0 w a n tW r� a n p I_I 11 M 11 a` �-' cv II ri <br /> Field GTEL w = c n I I.1 Eu rii at m <br /> Z <br /> � �- U a u m a a 4 ., I a 11 a <br /> Sample Lab N a & I ra N I I a IIr � 1 N J �' <br /> .�, iQ at]L158 J o Q a p 'Ji, <br /> w w x ,�2 i� 3 a c$ ro cp in p 1 .e N u a <br /> l only w 3 � ¢ � � � u z '� w � r- � � til n n r m ¢ a t a a a r, <br /> ¢ En a o _ �? �] o _ ry m 2 O A- w t u� w w W w ni EQfE w uai C� Q S <br /> OL <br /> iL <br /> sd il'it '' ��� i5`III� ii'i yl ile =I i,' i F{, I ` �► .�i� 5 1 .f�i�' �� <br /> Q <br /> 'f <br /> F i _ <br /> 0 .-0 _ _ <br /> 1 <br /> 1 <br /> f' 45 / <br /> f <br /> 4s 't } <br /> I <br /> E <br /> ' TAT Special Handling SPECIAL DFTECI ION LIMITS RFMARKS �}-�~ <br /> Priartj(24 ts) ❑ GTEL Contact S TAI <br /> Enmdhd(48bx) ❑ fluoterConlractI \'_/ <br /> T BEEzi+scss Da" ❑ Con[irrnatlon 9.� <br /> Olhsr - <br /> PuAtm Dap d PO A _ SPECIAL REPORTING REOUIREMENTS 1 ab Use Only List P gage Localion <br /> QA%QcLevel Fi!ee+-t. />>I'emAtft I CL ofoig5_ P'17(S <br /> Mu2.(4 <br /> er SLP❑ Other FAX ��� �U �� h�.�.p �r,T� _I'NG ! t <br /> 'Nook Order r' CLI <br /> v0 0J 1q 4 - Z(4 Hr _RT <br /> Re6roquished by Sampler f �JPule, Time Received by <br /> 1� <br /> 'STQD <br /> '�ORD Ralnquished by DaIP 1 imo Evac Ived by <br /> Relinq.nshed by Date 4 t Time netcrvicel by Lobar®., <br /> W;t bill ik <br />