Laserfiche WebLink
MD01371 <br />Cllent/ProJJect Nem <br />Shrn� <br />Project Number. <br />Sampler: (Print Nome) /AtINSI OR <br />Jo R. Tru j <br />S <br />Relinquished by (Pmt Name) <br />John - ice uji110 <br />Signal <br />Relinquished by (Print Name) <br />Signature: <br />Relinquished by (Print Name) <br />Signature: <br />4 8 — t' <br />Date: <br />06/16/97 <br />Time: <br />Date: <br />Time: <br />Date: <br />Time: <br />Project Location: <br />Field Logbook No.: <br />Chain of Custody Tape No.: <br />Send Results/Reporf to: Falcon Price <br />P.O. Box 1080 Kellogg, ID 838 <br />Samph Oonlemer <br />(5t0 <br />3 Gal. <br />an 2 Gal. <br />XXtfatbItin» <br />$ample Type <br />(1. Slndpe EtG) <br />Liquid <br />Liquid <br />Received by: (Print Name) <br />Signature; <br />Received by: (Print Name) <br />Signature: <br />Received <br />Signature: s <br />CHAIN OF CUSTODY RECORD <br />3260 <br />Freer eve <br />ice <br />Ice <br />Fha <br />Mond <br />A i9e <br />Date: <br />Time: <br />Date: <br />C <br />Analysis Requested <br />Lab I.D. <br />Ph= 2 Tem•. = 4•.5 td 44° F <br />Detr: <br />OFlr7 7 <br />Timepoo <br />Ph= 3.2 Temp, = 40 F <br />Analytical Laboratory (Destination): <br />ENSR LABS <br />Fort Collins, CO 80521 <br />Serial No. <br />Peps of _-_ <br />Remake <br />t ueD U M WiD v Q_It_ ,9vw f <br />18 0 a <br />