Laserfiche WebLink
M M M M M M Mir <br /> wonex to Chain of Cu dy Record <br /> 3002 Dow Ave, Ste 406 <br /> Tustin, CA 92780 <br /> 1-800-847-6639 <br /> Client C,6qw _ _ Date 4-11 Joy Page Of T <br /> Address 94-9W Project Name "V�ey-Z M 4 :7,1-754, <br /> Phone '7�J n3 21 CIO Fax_ qV5- 5 27- U�°j Collector Client Project# <br /> Protect Manager Q,, kz? Batch # ZD023 Proposal# <br /> cn <br /> Q) ro <br /> Q) <br /> N <br /> � N <br /> � � C <br /> O O <br /> o� a o o ❑ o <br /> N CD f- Gp r O O <br /> 00 (0 <br /> Container QQSample Q ¢ a Q CO Q o y <br /> Sample lQ Date Sampled Time Type Type w w tail Lair tau w w uar tair n I Comments <br /> Op-6 ,3e Df Ii <br /> D� IALQ Y0 A-5 <br /> Relin wished y (signature) Date/Time RecZ"Oxs� <br /> ture) Date 1 Time Total#of containers Notes <br /> D — / Dom=- Chain of Custody seals Y/ <br /> Relinquishe ignature) Date I Time Received by gnature) Date-/Time Seals intact?Y/ <br /> s, <br /> Received good conddion�d <br /> Relinquished by (signature) Date 1 Time ived b nature) Date/Time <br /> I <br /> �L' cz f�M2 Ip Turn around time <br /> Sample disposal Instructions Disposal @$2 00 each Return to c ient Pic up <br /> I <br />