Laserfiche WebLink
-2 <br />_y <br />CHAIN OF CUS'TODY RECORD <br />NOTES: <br />1) Ensure proper container packaging. <br />2) Ship samples promptly following collection. <br />3) Designate Sample Reject Disposition. <br />PO# <br />Project Name: <br />Table 1. - Matrix Type <br />1 = Surface Water, 2 = Ground Water <br />3 = Soil/Sediment, 4 = Rinsate, .5 = Oil <br />6 = Waste, 7 = Other (Specify) <br />Page / of <br />FOR GAL USE ONLY <br />GAL JOB # <br />1310 -05 <br />Lab Name: Green Analytical Laboratories (970) 247-4220 FAX (970) 247-4227 A nalyses R equired <br />Address: 75 Suttle Street, Durango <br />CO 81303 <br />, <br /> <br /> Colle ction Miscellaneous Preservative(s) , <br /> <br /> <br /> 44 <br />O <br />Sample ID Date Time C' <br />Comments <br /> V G% it o. <br /> t.. <br />E In <br />0. <br />U) <br /> U w <br />6 <br />z <br />`Z=. <br />C) <br />?. <br />z <br />O <br />1. <br />",v i L f ,c- t= t qr--4_ v !j G- G ll j t`i A-' C <br />y <br />-7 X <br /> <br />4 'A 6 <br />- <br />jZ7 <br />5 r ti <br />- <br />_ <br />. <br />6. <br /> <br />7. <br />8 ' <br />. <br /> <br />9. <br /> <br />10. .? <br />Relinquished by: 4 _o <br />V Date: Time: Receiv ?: i Date: T' <br />Relinquished by: <br />D o U? <br /> ate: Time: Received by: Date: Time <br /> <br />oa-F v ncJcctc t I AeLUm 1 j Dispose 1 1 Store (30 Days) <br />