Laserfiche WebLink
4080 PKI=LANE,SUITE C CHAIN-OF-CUSTODY RECORD 404.15, <br /> CONCORD,CA 94520 AND ANALYSIS REQUEST <br /> ®V 'E U- (5'10)695-7852 • . <br /> •°•"•• •` (804)423-7143 r F <br /> Company Name: Phorte 0: <br /> (916) 372-4740 G <br /> FAX 4: (916) 312-8781 p rrA <br /> Company Address: Site Location:q 110 yr 4--s-, J m m i.:i ) <br /> 1401 Halyard Drivem S++x !t{�r� U <br /> ❑ o <br /> Ste. 140, W,,SacramerttO, CA 95691 �� <br /> Gient roV)ProJect Manager Stora # 96 <br /> fl $ y fl <br /> ❑ x o r w '� <br /> btPrIonip STH 02a,00�'. .(o3D i3 ❑ ❑ fl z z • w 11 <br /> 1 attest that tttie Proper fietd sampling <br /> Sampler Name(Print): a C] fl o co V , C] <br /> procedures were usod during the <br /> m u R C <br /> cowdion of these sam e9. in L v, ' N o Ll a w p <br /> { �, <br /> matrix Method R N - < m I 9 ra ° LL <br /> a a <br /> GTEL' IIL <br /> Preserved Sam Ilt� � a � � L� � � w w m le 1_5 m �1 1 a Cl a Fl <br /> *I, mple tat] 7 rr �_ n cEi <br /> .401 <br /> IG b LIse1 0 p x of m a m �a a s as a a a U a a <br /> only J v°,TAI. a 0 i i ' g s- a r >- 5 <br /> riX A o r m m X s O w ru w w w w �i (ii w cal o ei <br /> ti <br /> ��F ••• r <br /> 1/• <br /> a .. <br /> A <br /> J � <br /> kyI_ <br /> J77 1 1 1 1± <br /> a SPECIAL DETECTION LIMITS REMARKS: � �AA�[� <br /> TAT SpeGal Handling /y <br /> [7ButirwZt, <br /> ority 124 hr) I_l GTELCanlad r r r � � ar� <br /> 4 pedlted 148 hr) ❑ Quote/CGntriwl# T� r I�' <br /> 4" Days ❑ Confirmation <br /> hsr SPECIAL REPORTIl�kG REQUIREMENTS Lab Use Only Lot N: Slaraye Location <br /> siness Days [� P.O.# - <br /> O <br /> d QA/QC <br /> Blue fl Ct.P❑ CMhgr fl A FAX❑ Wok Order R'. <br /> tO Reli ui d 6 am r. ate Receive <br /> 00 <br /> Ct]STODY <br /> Rahn u1s d by: Date irne Received by: <br /> 4 <br /> RECORD t. - r ' <br /> Relinquished by` ta Tiia Received by Lai,orato r. <br /> r We hill# <br /> ' <br />