Laserfiche WebLink
w'iiiiiiMNCM C�S20 ins ■1!!IbAA�SIA?UE� <br /> Lel 1� 1• <br /> (510) 685-7852� .�. ,,,- <br /> tti♦ LABORATORlr! "INC (800) 423-7143 <br /> Company Name Phone N 6-11^��p- IVA� <br /> f'U FAX# ❑ <br /> Company Address Site location LU <br /> O ° <br /> Y ¢ g <br /> Project Manager kyzr <br /> cIW`9= <br /> �p�r 2 f l.dam ° cm + " o ° ° <br /> !L/l li f e_ mgr �N E a ❑ © ❑ ❑ z z ❑ ; ❑ O <br /> I attest that the proper held sampling Sa r Name(Prin o ❑ in �, 2' ❑ ❑ ❑ ❑ <br /> procedures were used during the collection a : ❑ ❑ -J J <br /> of these samples ❑ o N ❑ o ° a ❑ 2 0 a <br /> Method " y a ❑ iI"d ❑ " <br /> Field GTEL Mat x Sampling 0 Lu a o ❑ <br /> C Preserved P g x ° ❑ W❑ W fit ° ° 0 p ❑ <br /> Sample Lab # W ° W ❑ ❑ ❑ a ❑ N Cl <br /> ID (Lab use only) 8 � 0 W _ o I � <br /> ao � ¢ v z v W $, p� pm a a a a a U aaq <br /> W a O = ¢ S _ C� F m m a F- W W W W W W W W W H W <br /> 1 <br /> s <br /> �--r <br /> l� 2 <br /> T <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS No <br /> Priority(24 hr) ❑ GTEL Contac) X <br /> Expedited(48 hr) ❑ OuotelContract# <br /> 7 Business Days ❑ Conlinnation 0 <br /> Other p0# SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Business Das ❑ <br /> CIA l OC LEVET. <br /> BLUE❑ CLP❑ OTHER FAX❑ Work Order# <br /> Relinqu a by 5 p r Date Time Received by <br /> CUSTODY Rollr►quish by J Dae Time Received by <br /> RECORDRelinquished by Date Time Received by Laboratoryi <br /> An 7/91 a ate W W All# <br />