My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
HYDRO31567
DRMS
>
Back File Migration
>
Hydrology
>
HYDRO31567
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:55:13 PM
Creation date
11/21/2007 2:01:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977208
IBM Index Class Name
Hydrology
Doc Date
7/28/2006
Doc Name
Water Sample Results
From
CEMEX
To
DMG
Permit Index Doc Type
DMG Sampling
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Paragon Analytics 225 Commerce Drive Fort Collins, CO 80524 <br />A Division of DataChem Laboratories, Inc. goo<aalsll or (9]0) 49P1511 (9]O) <90-1522 Fax <br />Obo7oo3 <br />Accession Number (LAB rOJ <br />Chain-of-Custody Date Page_oi, Oria(nator: Retain pink copy <br />Protect Name / No.: Sampler(s): Turnaround (circle one): Standard or Rush (Due ) Dispose: Date or Return to Client <br />Report To: <br />~ r~ ~-lor~EK <br />~ <br />Phone: <br />Fax: 3~3- 4523 -~IIS ~ m ~ ~ <br />E-mail: <br /> <br />r''~ K <br />L- <br />C <br /> <br />N m <br />~ ° <br />~ <br /> <br />I <br /> <br />t <br />m <br />E <br /> <br />° <br />, <br />. <br />Company: <br />tir rE ~~w Y <br />gl3~l ~ m <br />m <br />- - o s <br />~ o <br />~ w N <br />- <br />Address: ~ m m ~ "< o ~ ~ <br />~ y <br />~ s 3 <br />m <br />$ ~ 3 <br />m 0 <br /> <br />L~.~~~ /~ <br />C <br />~ <br />/LENS w w w ° m ~ °r °n ~ <br /> <br />~ g a <br />w vii <br />w <br />E <br />a ° <br />w m <br />/ <br />- <br />_/y'/l/ <br />~~ mp <br />N m <br />9 ~ <br />N a <br />$ N <br />O a <br />.~- m <br />m: ~ 0 <br />O 0 0 <br />O p o ~ $ po <br />o 0 o <br />J ,n <br />p <br />~ ~ <br />C <br />r <br />1 V <br />N 3 3 <br />N 3 <br />N 3 <br />m 3 <br />N 3 <br />N 3 <br />N 3 3 <br />fr 3 <br />m ,V <br />3 <br />N 3 n <br />~ W <br />~ ~ i <br />O <br />3 Q <br />m <br />U' 0 <br />3 <br />d O <br />W 3 ° E <br />N ~ <br /> <br />Circle method (right); provide atlditlonal information as nestled (comments). N l O N F m O N 2 W <br />y <br /> <br />m <br />~ <br />U <br />~ m <br />~ <br />a <br />.. N _m U a ~ V E N E °o <br /> <br />Sample ID <br />Date <br />Time ` <br />~ m <br />3 <br />r m <br />v ~ <br />'q V! <br />q ° <br />m «R <br />~ n <br />m °' <br />~ o <br />c o <br />.~ m <br />a a <br />~ m <br />w <br />o <br />s <br /> ~q ~ p C~ ~ m <br />y m <br />> ~ 0 m m y C ~ u A <br />6 y w H m e <br />tf• ~ <br /> <br />°- Z m <br />w o v <br />`o <br />v . <br />.. <br />w a <br />O y <br />a <br />m ~ <br />? '» <br />a O <br />J ~ <br />J ~ <br />m > <br />m ~ <br />m i <br />° m <br />m w <br />m iri <br />v _ <br />¢ <br />a a <br />~_ E 2 <br />a° E <br />3 <br />° <br />E <br /> ° m 2' ~ e o i- > O O m >< U U .. <br />. <br />o n o a <br />' v ~ _ <br />0 2 = <br />a ° ~ '- s °m ° m <br /> ,~ f a`. z > m rn O a x w H f F- o r o x 5 rn a t r; ¢ F ¢ ie t7 <br />~- i? = 77-! ~ da /LV5 IR 1 X <br />C- ST 3E d-T 30 /Zsa W /k 1 <br />r N~c~N , l~l~ <z 3 IA 1 <br />IT ~N~Corlc~ (~~3~ cz,SJ 1h/ (J/It 1 7< ?~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />• Time Zone: EST CST MST PST Matrix Key: O = oil, S =soil. NS =non-soil solitl, W = water, L = liquid, E = extract, F =filter Relinquish By.' ' Relinquished By: <br />Comments: <br />c+ ~ J TtiF ~ lar-~ <br />aN ~ C <br />.O <br />- <br />~Q <br />-- <br />~ Signature <br />Printed N e E(-- <br />r Signature <br />Printed Name <br />~ <br />r..r <br />~+ <br />nl <br />J~ V ~ r ~ Ti e /3c~c~ <br />Data Date Tlme <br />1 Comp Company <br />~, rv 11 ~~d l~~~D,C+t Uf F~ <br />lYy F1 1. ///""~~~~~ Receivedey~ _~ _ /J ~, ., (1) <br />Signature`{~~~.«~ Received By.~ (2) <br />Signature <br /> ss <br />Pnn.ad Nsma=V - <br />57 Printed Name <br /> ~ <br />uC <br />Date '~~0~1 ~Ob~ Time= Date Time <br />Form 2a2r5.xlc (a/e/09) Company Y~_ Company <br />
The URL can be used to link to this page
Your browser does not support the video tag.