Laserfiche WebLink
Date Due /~~3 <br />Holding Time <br />EVERGREEN ANALYTICAL, INC. /~~XCR: 9~~1 <br />4036 Youngfield, Wheat Ridge, CO 80033 A,vm,~,:5/.~~ <br />(303) 425-6021 on~i~as 9 ~ <br />SAMPLE LOG SHEET <br />• ~ <br />Client ,~~G-STE2N /Ers/Noccez~-s Project # ~~~ <br />Address /_39y9 W. Co.~gr ~/7o Airbill # ,~/flvy ~cTVEREO <br />Goy Co 0 of Custody Seal present?!'E~ <br />Contact nARYCu2Tss intact?l'Ef <br />Sampled y/.~o y~ cow Received Y a/y~ s•»P COC Present?mss <br />Client Project # 769'%S_oya-' ' Sample Tags present7Y~1 <br />Client P.O. Sample Tags # listed?l~j <br />Phone # X33-.~99i Sample(s) sealed?y~y <br />Shipping Charges - Fax Results?N.S Fax Number X33-~`r~~- <br />Special Instructions -~ S~ L)7T:k1~0 feR PAR.i,,,.ETezs oF.AivAtYS~s <br />Lab <br />ID # Client <br />ID # <br />Analysis <br />Mtx <br />Stl <br />Loc <br />File #/Date <br />R* <br />h <br />6 3S <br />Finv - I <br />V~~ ~d 6 0 <br />~ o,~~ <br />vtm. <br />~k - <br />Xab33~~a -3 <br />Xab33y - <br />JQ~33s c _ I -/Ex ck, <br />s N s too lK ros Tss i ~r <br />~c~t <br />d(s3 6 - a <br />7 c '3 <br />X63 (~ ' y <br /> <br />xae~ ~ -a <br />xdb3 3~ -3 <br />11x6 ~ D - Y <br />6 <br />Xd 3~ _~ <br />u s7 Y ~~. <br />r~~Y e~ <br />r <br /> <br />x,16g 3~t -3 <br />6 ~C ~ -y <br /> <br />X~6 3 Y, <br />-~ ~Rn.,r <br />~ <br />W 0 <br />Y .. ~ <br />c, <br /> <br /> <br /> <br /> <br /> <br />*Samples to be returned <br />• <br />