Laserfiche WebLink
` r <br /> t 4080 PIKE LANE, SUITE C �� i HAIN-OF-CUSTODY RECORD1140801 <br /> IGTE CONCORD, CA 94520 <br /> (510)685-7852 AND ANALYSIS REQUEST <br /> EOXME N'Ni (800)423-7143 $ <br /> [Al OA;EOl1!! C <br /> j l ! i311Mt ! <br /> Company Name Phone It q to _-7 <br /> T--r e(N LE 3 <br /> (X'dlTi CY1 FAX# � 1' ❑ <br /> © -e <br /> 3 Company Address Site Location w i 0 <br /> Qbric6ju m ❑ ❑ a o <br /> °3�C_ E� YCP-�- llCk�UnCapt r ILL ° ❑ ❑ �, s <br /> Project M nager Chent Project ID (#) © ZD � + n p � CO El <br /> Y \\LQ— fv1l k�� ❑ v m `n r a <br /> ME t C.OL m u n ❑ ❑ ❑ z z ❑ ^ Ea <br /> attest that the propper held sampling Sampler ame(Print) �- o ❑ w �_ ❑ ❑ - ❑ ❑ ¢ <br /> procedures+mere tJs�ed during the —Dm Sm t 1 y ❑ ❑ m a ¢ U Cn ' V' ❑ <br /> collection oft ese sam les T w p n N ❑ ❑ U t N ❑ Q N `s <br /> [] 4 o N a o o m ❑ <br /> Matrix Method o U " "' m a co m ❑ N N ❑ ° o ❑ ; y <br /> Preserved Sampling o o v ❑ a Q Q o o ❑ 4 0 <br /> Field GTE L imii 0° En d y ❑ ❑ w d EL m0 ❑ ❑ V) d N ❑ 4 <br /> Z ❑ 2 c c EC ❑ W W m co m En ❑ � ; <br /> Sample Lab# ¢ w V N y °D o ❑ ❑ ❑ a s ❑ m m N y ❑ •'�+. <br /> CC 7 Etl t6 M N CO '4 in O EP m M J <br /> ID (Lab Use1 z w o Q N N <br /> only J 0 a J o f O r°n w _� w w w v i m ¢ a a a a a a v a a LT <br /> Y o J ¢ F m Z N U Z W i' Q i P T a. — n. O d aL a M d d M a <br /> a 3 w ¢ m a O x z x :30 Os Q F m m z 2 O F- w w w w w w w w w F w V J D V <br /> 0sego ►^qW1 01 3 X1 1 <br /> X f°ac} Iia <br /> 6 n �7tbl- Y 00 n x n /I X t <br /> o wt k1-3 3 x <br /> 1 , <br /> TT- <br /> F <br /> 1 <br /> r <br /> TAT §petwl Handling SPECIAL DETECTION LIMITS REMARKS -Al- <br /> Priority(24 hr) GTEL Contact <br /> Expedited(48 hr) ❑ Quote/Contract# P. yC4 114ra'_i►p j <br /> 7 Business Days ❑ <br /> Other Conhrmation# <br /> Business Days 0 PO # SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location i <br /> ;9 <br /> I <br /> DAIDC Level I <br /> Blue❑ CLP❑ Other❑ FAX[] Work Order# y <br /> Relinquished by Sampler Date Time Recer ed b <br /> CUSTODY .W <br /> 'r_ to <br /> RECORD Relinquished by %A, � �} �, ate Time Rece ed by 1 <br /> Relinquished b e 12, <br /> � <br /> q Y t Tjp,te Received by Laboratory <br /> Wa bill <br />