Laserfiche WebLink
d-IL1319 PLEASE RETURN ORIGINAL <br /> LAWRENCE&ASSOCIATES CHAIN-OF-CUSTODY FORM ANALYSIS REQUESTED <br /> 3590 Iron Ct. <br /> Shasta Lake,CA 96019 <br /> F <br /> RFNCT :(53075-4800sor,r,cn-s fax: (530)275-7970 LABORATORY, ff�S� .Lp7C'r. <br /> p k P KIaon 4lao <br /> PROJECT ��"--��'� ^ �'�e� '� p <br /> JOB NUMBER CONTACT c L os' K4'DAF i /a5 k 3- 1'�O.f'Sn P.���. 1 3 306 VI <br /> 1' Z <br /> METHOD LABORATORY <br /> MATRIX U SAMPLE NUMBER SAMPLING DATE V <br /> � PRESERVED <br /> W I.D.9 u <br /> z_ <br /> ¢ O <br /> w U z O O w w z <br /> F O uJ ¢ O N z U U 2 y •. <br /> p YEAR MO. DAY TIME <br /> u <br /> — t -j <br /> — 13 _ 4 Z <br /> 1�fzQ <br /> 1-3 sg <br /> lcQ z o <br /> Ing <br /> J, _11 <br /> 1 Z <br /> 2i 1 Z 5 <br /> COMMENTS AND NOTES CHAIN OF CUSTODY RECORD <br /> L&A GLOBAL ID# S T L• S o 2_356-6 SAMPLED BY:(Signature)Dat our <br /> 7 <br /> SITE ID# %O/jZ//L f9�2 <br /> PD F +v d kI r k @ 1 w r r)L, czeil UISHED Y ( gnat ate/Ho RECEIVED BY:(Signature)Dale/Hour <br /> 1 <br /> 0,1& 00 <br /> j60,%fD F <br /> ELINOUIS(iED BY (S' ature)Dale/ our REC D BY: Ignalure) <br /> RELINOUISHE BY:(Signature)Dale/Hour RECEIVED BY:(Signature) <br /> �/ DISPATCHED BY:(Signature)Dale/Hour RECEIVED BY:(Signature) <br /> PAGE— F BILL TO: LBAk CLIENT❑ <br />