Laserfiche WebLink
SAMPLING AND ANALYSIS CHAIN OF CUSTODY RECORD <br /> Imcon PROJECT NO i 5'1 c Z. I SAMPLE TYPE LABORATORY NO <br /> .eeoa,.+ls . <br /> Sam le Information Bottle Information Lab Information . Chain of Cus dv Documentation <br /> Sample ID Lab IDI Parameters No. TvPe Pres. Filt. Lab PO# Sampler Date Recd By Date Comments Recd B Date Comments <br /> 1 ` <br /> G I <br /> 13 r.,+�t. f+L;� � i v� Il�t�•.li �.� <br /> (ilil�O t l) U11pi+l- <br /> h_ t <br /> c -z <br /> L PE <br /> V <br /> . - t� 2�. ►l, 7-2 Asn �k <br /> Sampled B • I P t ej Relinqulsh ey: Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> EMCON Contact: l R elyd By:� Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Jd / ; ,. <br /> EMCON ociates, 1433 North Market Boulevard,Sacramento,California 95834 (916)928-3300 <br />