Laserfiche WebLink
-fie-- --vti .� .� .__.—ri�,�"�e,,•ar�t�,e.t w�e�wtt�� � Mdl!'l��t-�t Omr <br /> U-Haul Facility Number �_7� y�.`�d Consultant Protect Number 0 d r <br /> COIlllilblQ U-Haul Facility Address� 7 Q 1 N w i Ia �a N (nf� `# �1 Consultant Name ►�I t S GN 1�t ICdt�P"1�NT)L <br /> Annlytteal U Haul Contact(Name) f Ct Address a 5� 2 L <br /> Sen,tces� — IA � � _ � 7[� <br /> (Phone) Project Contact(Name) _ lJV\ N "�L <br /> 1-800-695-7222 U-Rauf Protect# r��""'' (Phone)�{b a O 0'7 (Fax) <br /> Laboratory Namef U� Sl Ar �3a�`ITIc+� L- ��U1 CG5 Sample Collected By(Name) t Iy1c CONI F L Z,►qw <br /> lJ'HAU L Laboratory Work Order <br /> Collection Date 6 LQ k2p, Signature <br /> Method of Shipment <br /> MATRIX TYPE Analyses To Be Performed <br /> a`� a c o E a N o �i Q r <br /> E m u7 <br /> Q R1 pr <br /> Z o a �ii C7m aw wc�u ma o E O <br /> Z a� U QU cnm CD N E _ + m0 �� _ ¢ <br /> d Q d Hv yM N , - 1!1 dv I �lJ <br /> tv a d }- d N � N N G N O N ii N 'a N <br /> _ c o c7v eco � � QCD 3 tuv c = p <br /> CL ul w o `° i0N a a a Xo �4 Xo co aroio COD °70 � 0 1 = ; Wit% ��] DTW <br /> U) m m � v1 L C7 CFD co m H o d C3 o CO o 'o o N w c^v `� d ao c CD Remarks <br /> d Z Ulf CDC uJ cn ca m m r m c.° O m a co � °�° > U) <br /> - @ 3: 1 <br /> @ 3 1-9 12_10 \J f <br /> zA-Q Co 3 3 1050 y <br /> ? g @ 9Z 7 <br /> yYZ <br /> Special InstructionslComments LAB USE ONLY, Pw Ib 3- Y <br /> Condition of Sample Custody Seals r` <br /> Temperature Received Storage Location <br /> Notes <br /> Relinquished By S ature) Organization Date/Ti. a Received By(Signature) Organization D teff ANALYSIS TAT(Circle Choice) <br /> S ` � i! bMdv �-3 -00 TAT-Surcharges May Apply <br /> FRe <br /> quashed By( ignature) Organization ❑24 Hours <br /> 9 te�C me R ewed By(Sin ure) ���� Organization Da erF e ❑4t3 Hours <br /> E�4 C%i lY 2� I&o C) f%/�" 6 aro L ❑ 72 Hours <br /> quished By(Signature) Organization DatelTime a ewe For Laborato 8 (Signature) T Standard 7-10 days <br /> Laboratory y( g ) DatelTlme <br /> �,e�. `� I� an <br />