Laserfiche WebLink
CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2865 Sunrise Blvd., Suite 210, Rancho Cordova, CA, 95742-6538, (916) 635-7766 <br /> client: <br /> Mcelving latsoratory: <br /> tchison, Topeka and Date: 9- s -09 Page: of: „� Aniab Analytical Lab <br /> anta Fe Railway Co. Weather: z 1914 S Street <br /> 770 South Eastern Ave No. of containers (this page only): Sacramento, CA 95814 <br /> AS Angeles, CA 90040 Sampler(s): 4'5 " m aQ <br /> ERM-West Job Na.653a Signatur_e(s): (916) 447-2946 <br /> Sample Time SanVIe type Containers Preservative Ice Sampl lrtg Aiaiyses <br /> ID (soil/water) -- ----- (Y/N' Method <br /> (grab/camp) No. volume Type <br /> y•J p —�ASsTu Yp'?1`r'�. <br /> ILL— <br /> Caments: _ ---—_---_.. --_--__.___--_ ---___— Custody Record <br /> _.--__--_----- -----------------_______ Signahre/Date/Tlme <br /> -----_--__--__--__--__-------------- Rell lnpu she - <br /> _. __,.---___.__—__—__.__ Received <br /> —.—.--_--.._---__--_--_--....___.__.___—.--_` Relinquished — ---__--�-- <br /> Received <br /> i <br />