Laserfiche WebLink
l(APREALIAN ENGINEERING <br /> I N C O R P O R A T E D <br /> CHAIN Or CUSTODY <br /> SAMPLERSTEI/L` SITE NAME 6 ADDRESS ANALYSES REQUESTED TURN AROUNND" TIME. <br /> (/NOG'}( '11j e S1-0CKTV/V <br /> WITNESSING AGENCY T <br /> 7 3 0 3 PliL t/.c' UNO O <br /> SAMPLE OF G <br /> SAMPLING R E N A R K 5 <br /> 10 NO DATE TIME SOILA�T/ER RA COMP CONT LOCATION <br /> 4VATC Q -ELL �/a/�,� 7 °p°M /\ /L <br /> I <br /> I <br /> Relinquished by (Signature) Date/Time RAcnaved by (Signature) jD C0 The following MUST BE completed by the laboratory accepting samples <br /> j'6 J Q .?f �„� �! tih ; Have <br /> or analysis <br /> samples received foL_janalysts been stored in ice? <br /> Relinquished by (Signature) Date/Time Received by (Signature) r <br /> 2 Will samples remain refrigerate until analyzed? <br /> Relinquished by (Signature) Date/Time Received by (Signature) 3 Did any samples received for analysis have head space? <br /> 4 Were samples in appropriate conte ners and properly packaged? <br /> Relinquished 6y (Signature) Date/Time Received by (Signature) <br /> Signature Title to <br /> 2401 Stanwell Drive.,butte 400 <br /> CA NiLord California 94520 <br /> Al 5106025100 lax 5106870002 <br />