Laserfiche WebLink
Contact: { {)a +G yn 1) Ensure proper container packaging. <br />Address- -70 (' 441 /1 p ?t'`? 3 I S- 2) Ship samples promptly following collection. <br />0 A q ° , 8 l 1? Q3) Designate Sample Reject Disposition. <br />Phone Number: _ 17 0 ?g PO# <br />FAX Number: Project Name: U A Samplers Signature: <br /> <br /> <br /> Lab Name: Green Analytical Laboratories, Inc . (00),247-4220 FAX (970) 247-4227 Analyses Required <br /> Address: 75 Suttle Street, Durango, CO 81303 <br /> Collection Miscellaneous Preservative(s) <br /> <br /> v <br /> <br /> Sample'ID Date Time Comments <br /> <br /> ° ° E n v V <br /> <br /> <br />U <br /> <br />w <br />Z'7 <br /> <br /> <br />? <br />?D <br /> <br />x <br /> <br /> <br />c <br /> <br />x <br /> <br />Z <br /> <br />O ) <br /> <br />r <br /> <br />1. 4 <br />S <br />Q ?? <br />tog A t?tJ . <br /> 0-7 ?-Q 09 <br /> 3. jr ?8 I bv? y <br /> 4. M , t 51 113v uuN 2 y-?t M <br /> 5. AA_ 1 -7 <br /> <br />? 7. 51 AA_ 2 <br />vo <br />Ica <br />w <br /> e <br /> ` <br />9. <br /> <br />.< <br />. <br />10 <br /> <br /> Relm uisfied b <br />4 Y _ <br />" <br />Date <br />Tim <br />Received by <br />: <br />Date <br />Tie;. <br /> Relinquished by: <br />_ Date: ' Time: Received b <br />y <br />: i <br />Date:." <br />Time; <br />*-Sample Reject:; [ ]Return [ .] Dispose [ ] Store (30 Days)