Laserfiche WebLink
1ty5ee0eNIV"MTYLTEFMRV <br /> TAMPA FL 33612 ND ANALYSIS REQUEST <br /> INY1/ONMINIAL (8i3) 979-9092 <br /> lA/ORA1Of1F/ INC �. <br /> pang <br /> Name Phone ` <br /> Gy 1 FAX N � � ❑ ❑ <br /> an Address ❑ ` p <br /> P Y Site loc tion _ <br /> 'Cdn �k ❑ ❑ 13 ° ° o <br /> ct Manager Client Pro ect ID k ❑ ❑ 9 , N ❑ Il <br /> ( }OZo3C(Z l 1-03CT01- y ❑ <br /> �\ NAME 2 ❑ m = ~ <br /> st that the proper field sampling Sampler Name(Print} ❑ ; ❑ © ❑ $ ❑ 0 ❑ <br />§duras were used during the collectionGKG <br /> o �; ❑ A ❑ o g ca <br /> ase samples (�► p o N ❑ a N ❑ ❑ Im 133 <br /> ❑ <br /> Method r a <br /> Matrix Sampling d N d ❑ � © ° <br /> Field I GTEL Preserved a ❑ ❑ w a ❑ ❑ ❑ ❑ <br /> ❑ = w Itl CL <br /> Sample I Lab # ~ w ,�' ca r� a � � ❑ ❑ CL a ❑ ° ° <br /> ID (Lab use only) J °� <br /> w w <br /> w I LX <br /> 'k a O -f Ir U z w gza aQ <br /> rA a to a O x 2 t? m x Q F w w I�i w lu W w W W w <br /> w - 15g 2-3b <br /> ►� - ra Z i:`1 D <br />�. ►5 � 2 s� <br />�w lsC, 2.SoIX <br /> 11 V713.tm I IX <br /> hw <br /> 3.1' v <br /> Mw �:Zo <br /> TAT Special Handling SPECIAL DETECTION LIMITS <br /> REMARKS <br /> Ily(24 hr) ❑ OTEL Contact <br /> Idlled(48 hr) ❑ t}uotelContrect III 0� <br />;slness Deye ❑ Connnnatloa R <br /> POO SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage LoWlon <br /> less DoXI ❑ <br /> QA!OC LEVEL <br /> E❑ CLP❑ OTHER FAX❑ <br /> Work Order M � <br /> Relinquish by 1 Date Time Received by I <br /> rUSTODY Rellnqul y Dale Time Received by i <br /> ECORD Relinquished by <br /> Date time- Rec y Laboratory <br /> Tal <br /> 4-1-9 3�0,' <br /> c <br />