Laserfiche WebLink
Snrl l It I'%1l RV CONPANI CHAIN OF CUSTODY AND <br /> nit full lenur lruhlwid,tit fcifingluhorutury j•,sfnhhsher IW)4 ANALYSIS REOUEST <br /> 781 Eist Wa,.hrn tun PAWLvud • 2 > > // <br /> 6 I us I ranLI;s Cahrurnra i 9411 • (215)749 341 1 • F jx 1_1 3)745 637_ DATE _ I) ��__ PAGE`l_OF <br /> P() tiu�c 880550 liunt�r s PoNn[Shipyard I31LIg 114 • Sen F renuseu Cehfurnea 94188 • (4!Sy J 311 301)0 • 1•aR (415)822 5864 <br /> 5427 East 1 a I'AmA Avenue • AnehOln Cah#ornra 42807 • (710643 1026 • 1.1% (714)691 1034 FILE NO 7a53`j LA13 NO 3a.SZ �S 30 <br /> CLIENT NAME jANALYSES REQUESTED REMARKS <br /> PROJECT NAME `_i S 7, PROJECT NO PO NO <br /> ADDRESS <br /> C7 <br /> PROJECT MANAGER/ti IC OA-C(.. C o i PHONE I( 3J u f 2?-9 8 ? (-FAX# � <br /> U) <br /> SAMPLER NAME C U GEIY/CJ 01A-,y4k <br /> ��.�----7 <br /> (Pnnwdl t eI <br /> Ca X <br /> TAT)Analyttcal Tum Around Time) 0=Same Day, 1 =24 Hour, 2=48 Hour, {Etc) Q m <br /> CONTAINER TYPES B=Brass,G=Glass,P=Plastic,V=Voa Vial,0=Other N <br /> Ck <br /> SAMPLE DATE TIME MATRIX CONTAINER �* SAMPLE CONDITION/ <br /> NO SAMPLED SAMPLED SAMPLE DESCRIPTION TAT COMMENTS <br /> WATER 601E SLUDGE OTHER • TTiE <br /> i3 93 IB,4i <br /> 13 93 )1 ' -713 1 -4 x X <br /> FlLhnqu.snetl By(S�gnahue and Pr Hamel By(Signe a+d Pnnred Name1 { n 3 Tw+e SAMPLE DISPOSITION <br /> /� gD t Samples felurned to cl[enO YESCNO) <br /> fieimj4srwt ay(s,gnature and N N e eLved B 1Si9natura aL rutted Name) a4. T+me <br /> e e- (._ —70 p. � AA, a) 2 Samples will not be stored over 30 days un <br /> ukhhut l II slur ryr'time is requeslf d <br /> f1ul�iWuutra.J By IS�gnewre m>.1 f'rus[nd Hemel nuLurvud Dy(Spnuluru w +ultutl Nanw1 Oatu I urw <br /> 3 Storage time requested days <br /> SPECIAL INSTRUCTIONS <br /> IBY ----- Date__—_ <br /> 131STRIRI(TION W#3ITF YFI I OPINK TO SEGO—GOI D TO Cl.IFNT <br /> 9 is <br />