Laserfiche WebLink
� � � 1111111111111 I� -L� <br /> SAMPLE CHA OF CUSTODY <br /> {_ Remedy, Inc. <br /> Date _ �r f! I /� _ - _ 1 d 3 L) .S 112 Dove Court <br /> Vacaville, CA 95687 �k <br /> Project Name + r ''r xr I a(9 Telephone (707) 451-8598 <br /> Fax (707) 451-8598 <br /> Project Number Laboratory <br /> Report Results To �'Gtf+� Cl �t('f lit ;r� Name ' �1 <br /> i <br /> r x/ `� f`'� r'+� rt °���'L� Address <br /> r e'pl <br /> r� �fc. <br /> Sampler Name ">Lk cc) (1 I0 ho Telephone Fax <br /> ANALYSIS REQUESTED <br /> SAMPLE DATE TIME LOCATION SAMPLE COMMENTS-DESCRIPTION-SPECIAL INSTRUCTIONS <br /> NUMBER TYPE <br /> rr, jr' 1NY 5 �! lnYli 1 , �r r ` , ��.. 3 <br /> 1 � R� S r f ' ) � 1 r- f f -1c f <br /> ! ! 1 <br /> i r kit 5 r� L � 0D r l� '�f l ��q i �� r •�• �,F rr f l` 1 ' L t 1 k' <br /> o ccs <br /> I r l <br /> f J/ V 'i 1 I <br /> robo K �� ".10i) ' Ie f -r <br /> 2yll �y vrrG <br /> dQf <br /> MWWAHUR <br /> Gowu <br /> „[n <br /> �! <br /> I <br /> SAMPLE RELINQUISHED BY SAMPLE RECEIVED BY 10e, C GIS-J5,V of b .e <br /> Print Name Signature Dale Time l' Pnnt me 51 natur Date <br /> G /Time <br /> �f / U / �.W �U �[�� i / T G TU <br /> a <br />