| OCR Text |
Show Field Samt Parametrix, Inc. , • I Chain of Custody Record 5808 Lake Washington Blvd. Kirkland, Washington 98033-7350 • Project Name: 206-822-8880 • • Fax 206-889-8808 Project Number: Client: I Samplers: Recorder: II " of Containers .nd Matrix II Q.I ,i; 3: E en :s t= CI) X " c ... 5 " It s: C) ... Q. c 0 :l ::t: CI) N ::t: IIf) I 'r-I P, II .., % 0 0 Z ::t: " ., %1; 0It z z.:l .. It s: 5 PX 9-=1-- -;bo ,(- t7· acto .. X - J( 1* X Analysis Required u c e C It ::::I en Date N '2 ... Sample Number Preservatives i , " .. n. - " V Pr Jh X - Day Year R JI 97 Time loki . 'R JI, .:51t(L.., f JYI\. Cj':} . - J . Month 9- A-I. J I - .- d-O \\ " 11- ,- "'" " 1/ f\ lli/ t I ) I, Total Containers: Chain of Custody Record (Please Print) Dat: , , Time: /) Received By: (Name) Date: -I!J-r; //:¥r4- f:r ir7 //i ':J;I) I Q Time: I Shipping Infonnation Cooler#: Alrblll #: _ White Copy: laboratory . Yellow Copy: Return to Parametrix Inc. . Pink Copy: Parametrix Inc. of _ Coolers on this Alrblll |
