Laserfiche WebLink
CHAIN OF CUSTODY <br /> and Analysis Request Form 4$ <br /> Company: Laboratory: ®��° <br /> IT Corporation Sparger Technology, Inc. <br /> 1433 N.Market Boulevard,Suite 1 3050 Fite Circle,Suite 112,Sacramento,CA 95827 <br /> Sacramento,CA 95834 Phone:(916)362-8947 16 <br /> Phone:(916)928-3300 Fax:(916)928-3341 Fax:(916)362-0947 <br /> Send Results To: Project: <br /> Don Bransford 120 Aerially Deposited Lead and Groundwater Study <br /> IT Corporation Location: HWY 1208Austin Rd.,San Joaquin County(PM 6.717.0) <br /> 1433 N.Market Boulevard,Suite 1 Project#: 821264 <br /> Sacramento,CA 95834 Contract:43AO012 EA M 10-0A750K-51J <br /> Analysis <br /> 3 <br /> 6010: Special <br /> Z Lead Notes(see <br /> Sample 1D: Comments Date Time Container Total a Matrix Only TAT below <br /> 12012-) 0,( ^JD,11r,1 t plastic bag 1 ice er, X 48-hr <br /> 120 11 0--3 plastic bag 1 ice X 48-hr <br /> 120 11 01 ti I Jf plastic bag 1 ice X 48-hr <br /> 120 2-2 0.1 t 5 plastic bag 1 ice X 48-hr <br /> 120 17 C.-3 plastic bag 1 ice X 48-hr <br /> 120 1;L plastic bag 1 ice X 48-hr <br /> 120 21, plastic bag 1 ice X 48-hr <br /> 120 )3 0.3 plastic bag 1 ice X 48-hr <br /> 120 )3 VA, plastic bag 1 ice X 48-hr <br /> 120 14 plastic bag 1 ice X 48-hr <br /> 120 J4 plastic bag 1 ice X 48-hr <br /> 120 1 •6 plastic bag 1 ice X 48-hro <br /> 120 Z plastic bag 1 ice X 48-hfiv <br /> 120 5 C 3 plastic bag 1 ice X 48 <br /> 120 1 S- 0,b plastic bag 1 ice X 48 <br /> 120 a L C'( A L L fin/ Ct.1: (,3 plastic bag 1 ice X 48-hr <br /> 120 1L r,.3 plastic bag 1 ice X 48-hr <br /> 120 14 ,b J &AL' plastic bag 1 ice X 48-hr <br /> 120 2] 0'1 plastic bag 1 ice X 48-hr <br /> 120 ..7 0.3 plastic bag 1 ice X 48-hr <br /> 120 ,1) D plastic bag 1 ice X 48-hr <br /> 120 2$ 0.1 ALL N v;Jt Q 1 plastic bag 1 ice X 48-hr <br /> 120 14 0.3 S plastic bag 1 ice X 48-hr <br /> 120 24 0•& C30' plastic bag 1 ice X 48-hr <br /> 120 29 ( © ' S plastic bag 1 ice X 48-hr <br /> 120 19 r, 3 plastic bag 1 ice X 48-hr <br /> 120 2`1 6,1 plastic bag 1 ice X 48-hr <br /> 120 3 c fJ plastic bag 1 ice X 48-hr <br /> 120 c L•3 plastic bag 1 ice X 48-hr <br /> 120 + C 0• la plastic bag 1 ice X 48-hr <br /> Notes: <br /> Relinquished By: Received By: <br /> Print Name: Print Name: ks L r <br /> Date: /V(C ev e'-"l Date: 2( 5 ( D <br /> Time: /� f Of Time: <br /> Relinquished By: Received By: <br /> Print Name: Print Name:. <br /> Date: Date: <br /> Time: Time: <br /> Page of <br />