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Lab Number f~~ <br /> <br /> <br />- Analytical-Laboratory & Consultants, Inc. <br />361 WEST FIFTH AVENUE EUGENE, OREGON 97401 <br />1-800-262-5973 541-4$5-5404 Fag 541-484-5995- <br />Email anlabinc@rio.com <br />CHAIN OF CUSTQC?Y <br />Attention: client: ~j j ~~ ~ ~ s o ~. <br />Phone:. S~~Y/ -~~,.~" - 7S" 8 ~ Address: t,(gc~,~ [~.e ~-. -~-~ v- j,J;~ <br />Fax: ~u 5 ~~.~ , ~ ~ Q 7 ~a.S <br /> <br />Project ID: ~, Y2~ r.~ l~u ~ Sampler: Print <br />/~ j c~© tic VtSo c.~+. Sam;~p/,her: Signature <br />G2~ ,.'- <br />Field <br />Identification Sample Matrix, <br />& GrabJCam Collection___-___ <br />Date Time <br />Bottles Analysis <br />Re uested <br />r~ ~ ~. l~LC ~ # .~ ~f 4 - 0t~ f 0 n ~._. ~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Notes: <br />Turn Around Time Requested: <br />RUSH NORMAL Shipped Via: ~ <br />~(, n D + t ~ <br />~~~ ~ I,~L I V"V~~ ~/R~rigerated <br />C~" ° v ` <br />, ~ (~ f ~-- <br />Relinq~uished by: Date ___Time__- Received by: ____Date __ Time_ <br />Relin 'shed by: ~~ ____Date ___Time Received by: Date - Time <br />Relinquished by: Da_t_e_ _ Time Re eive~l by Laboratory: -____ to _ __- Time.__ <br />/1/~/~_ I1____..1 A AA f\I. ..1. \1.L._ !~L_._J_..J T_~__ ..J /'~_.~J.L.~~~ ~... A~.._.+~ n 1 _2 1 <br />