Laserfiche WebLink
40 <br /> 0 <br /> CHAIN OF CUSTODY RECORD , ��lr K`F IC '� `7C L7 BCA Log Number • <br /> Chent name Protect or PO ( � Analyses required <br /> Address Phone# <br /> i City,State,Z Report attention \ �, 0 <br /> WIFE Au OA Q4J523 "f�f7D f I1ULg- FQ�� <br />` Lab Type• Sampled by V. <br /> ' 1(ti� tit.) <br /> NA Number lr� � ao��� <br /> f[ Sample Date Time See key �C j1f l of �� X16 <br /> number sampled sampled below Sample description containers <br /> `�j g Remarks <br /> rpt Oto 46 1ooq&4 -I4w- 1r-m 3 <br /> 154$ OAbb- M 0 - Z <br /> 4 <br /> Pr <br /> 0WO jooqurmw-j, / <br /> i <br /> 4 <br /> 9 <br /> �Y n <br /> 1 <br /> ' A,V ' Slgnatu `` Print Name ,Company �s (� Dated± Time <br /> Reilrtquished �N <br /> - i <br /> R <br /> 11eceived by <br /> +ry Rglmqulshed by <br /> Received by <br /> jshnqurshed by { <br /> S ece by Laboratory - <br /> Nt r <br /> N <br /> g 'B C ANA Y' A Note Samples are discarded 30 days after results are reported unless other arrangements are made "KEY AQ--Aqueous NA—Ntonaqueous SL—Sludge <br /> 8 Cir ad ,Co�C 9658(S )8�538� Hazardous samples will be returned to client or disposed of at client's expense GW—Groundwater SO—Soil PE--Petroleum <br /> 8 1WW Wastewater <br /> N@sleT ve�Ue,Glendale,CA 91201{818)247-`737 S Disposal arrangements <br /> # 1200 Gene Autry Way,Anaheim,CA 92805(714)978-0113 <br />