Laserfiche WebLink
,r <br />ParagonAnalytics 225 Commerce Drive FortCOllins,CO 80524 ^ ~ AccessionNUmber(LABIO) <br />® r <br />A Division of DataChem laboratories, Inc. ao9-44a-1511 or (9]9) 490.1511 (970) 490-1522 Fax ` Cha/O-O/-CUStody Date page _ of - Originator: Retain pink copy <br />Project Name / No.: Sampler(s): Turnarountl (circle or)e): Standard or Rush (Due ) Dispose: Date or Return to Client <br />Report To: ---'" <br />, <br />, E 1. <br />~ <br />s <br />;i. i. <br />Phone:..---~•: ~ i = s <br />Fax: _._ , .. ~ '; i l ii 1 ~ ~ ~ a ~ <br /> <br />E-mail: - <br /> <br />. <br />' <br />'i <br />' m <br /> <br />$ <br /> <br />~ ~ <br />e ~ <br />g 8 <br />~ <br />,~. <br />Company: i' .: , N i m ~ ~ o ~ ~ m ~ o S <br />`:' ~ 1 ~i. r'"~ ~ ~,i Y <br />Address: r ~ w I v < rte' w ~ ~ $ 8 ~ ~ 3 a <br />_ m ^ ~ ° a ° N ~ ~ ° m <br />I - <br />' ~ e <br />W m <br />W e <br />W $ <br />W j m ~ <br />m < <br />F n ° <br />\W W W ~ <br />(n Q W Q W 0 q <br />> , - <br />r.- l'.. o m oU a a m mo m m o m m ~ m ¢ ~ r E <br />_ <br />~ ~ t_`I ~~) m m m m c n q;,( <br />m. - a ° °ro o o m ~ O w D g m ~~ f <br /> 3 3 3 3 3 3 3 i; 3 ~ 3 3 3 ~ ~ e 3 ¢ 3 m 3 °m s m <br /> m m m m m m w m m m N m m m m '. N (1 m a w m ¢ m w <br />Circle method (right); provide additiorral information as neetletl (comments). ~~- <br /> <br />~.m <br />.- <br />U <br />~ N <br />a <br />a h <br /> N m U n ~ u E ~ 6 $ t <br /> <br />Sample ID <br />Date <br />Time ~ y m <br />v ~ <br />m W <br />~ a <br />m m <br />~ a <br />m m <br />d o <br />r o <br />c m N <br />a a°q <br />` o <br />'a - <br />o Q <br />o° ~. <br /> i v <br />Z 5 ~ <br />~ m m : <br />q `m w U Q a a e <br />w m <br />m <br /> m <br />Z m o <br />U v <br />m <br />y y > <br />m ' <br />' O d <br />~ m <br />~ m <br />> y <br />~ o `c u _n <br />< m H h <br /> <br />~ <br />N v <br />`o <br />U <br />W <br />O <br />a <br />m u <br />a <br />o <br />.d <br />a <br />p <br />r0i1 <br />m i <br />~ a <br />m w <br />m u1 <br />a <br />w a <br /> <br />~ E <br />~ _o <br /> <br />a E <br />o ~ '° <br />E <br /> m N ~ d O H ~ 0 U m w U U `0 1e o m <br />' "o <br />~ <br />N <br />6 x <br />a o v `o E <br /> ~ f a ~~ Z > m el O a x w H H F- ~ H o x F <br />- (~ Q F ~ ¢ m ~ <br />~/ <br />-) 1. .1 i <br /> <br /> <br />l <br /> -[;~~ ~ <br /> ~ ~~ <br /> <br /> <br /> <br /> <br />'Time ZOtle: EST CST MST PST Matrix Key: O=oil,S=soil, NS=non-soil Solid,W=water,L=liquid,E=extract,F=filter Relinquished y: Relinquished By: 2 <br />Comments: Signature ~[ i r ~ ~~ " -f~~- ~ Signature <br />_ <br />"'( ~~, ,,,~ ~ '%~~ <br />)i <br />i Printetl Neme 1;~~zr ~'~~ L Printed Name <br />1 ~ <br /> <br />_ <br />},; ~,~.r, _.. -. .., .., -.-7~~'`t/'d (. Time 1 i:.'t_ <br />Data <br />Date Time <br /> _ <br />Company t--C~I' IC r~ _ Company <br />' ~~ ~ ~~ ~/ Received By: (1) Received By: (2) <br /> Signature Signature <br /> Printetl Name Printed Name <br /> Date Time Date Time <br />Farm 202r5.xls (4/6/01) Company Company <br />