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HomeMy WebLinkAboutChain of Custody RecordCLIENT -PROD. NO. LAB PROD- NO. SAMPLERS: (SIG TuRE). CHAJN:OF CUSTODY.RECORD FOR LEAD CLIENT P ROJE NAME CLIENT . fw i REsERvED FOR. C€-"1ENT SAMPLE . 0 TE "L49ORATORY 1. D. NO. USE REMARKS. - TYPE F TIME 0 %- sir -41 MATRtk YGEIA-LABORATORIES,- ICJ' 1 1300 Witliams Drive. Suite A - Marietta, Georgia 30066-6299 .(710 )51.4Z933 LABORATORY At ALYSIS:.. f U'• i.%(7.70).514-6966. Af�EA AIR WIPES. 5A111FLiNG -TOTAL.., . • .SAMPLE DESCRIPTION TOLAL VOLUME (Cirri-e tMits- . . '(Liters) Fr''OR .(Fiov++f iiefe z Ti rla) .i4.67A3 FTC l ); ' t rtil .t1 r5rt ri 7:-.. l 1 ni .407 .Si '1--I/6 6 4r191 F. htk `n :."I2.1. wort. 1 t. (- :074,t t flow, eit: -.to a. r2fgj. too et. f - 0061t,r i RELINQUISHED • BY: RELINQUISHED -BY: DATE(TINIE DATE/TIME RECEWWED BY: RECEIVED BY; Dust Wipes (ASTM E17B2). ` Lat # Wipe•Container (ASTM Ei728) •i-ot#. . PROJECT :MANAGER:/ PHONE NO. ss Jtud- IT tilt KIRK ? eRf • )5n1 9.05 •"••zi:X.',.,'•:-.4:41•;-:, • • " " • ' • ' " • • • - - - ' • CHAIN OF CUSTOI*RECO.Fibp.p..4EADir . , - . . CLIENT PROJ. NO, 'LAB PROJ„ NO.. CLIENT PROJECTNAME fl&itgiPte$410 ef; 44-'74'16- CLIENT 447 ITYGEIALABORATORIES,INC. iqqo winiarnt'Orhret: Spite A Marletth, Geror§i4:8Q60-629 •. • • f77 0014:76-b.j3 .• SAMPLERS: RESERVEE> FOR .LABQRATORY USE REMARKS: RE) ;- • 1. CLIENT SAMPLE I. D. NO. RELINQUISHED BY; DATE 2.0 027,5021 74- 177-AZ4f jcazsoi-f. : 411-cOir: 2 P 25_05* 1-1,Stly 7V. - ntSticf t talritt 012:gftli 11.2. 47,1-coY -51 nzselar 4-rs' 3A A72cirf• :7•.,tsVef 67. 2! wit( DATE/TIME TIME :TYPE 0. 0. RECEIVED. BY: . L. :•MATRDc: :0 co tiJ cc. Et LA8 ORATORY ARE.A • ANALYSIS:-: , WIPES_ 'TOTAL% CA • AREA: (Chyle MI* tti'• Frz OR . CM Dust Wipes (ASTM E1792) Lot # RELINQUISHED BY: DATF.JTIfvFE RECEIVED -13Y; Wipe Caniainer (ASTM E.I 728) Lot # .:sAropLsiG .TOTAL VOLUME (Liters) x Tole) SAMPLE DESCRIPTION N4P-itgi 6fIrr7 146 :Nene IN f• 43Itr- I - ft6+1 1`414 • :,,r1 I -Patm-Z.171fir. ootz 1:tiE4l1.Dot& mit iod 06012411. Div Ew144 &tit :44004: NO- -Acetirie 51.045 PROJECT MANAGER PHONE NO. 14116 t4offifttil- ger fil9tudis pss v.1,4 1(6 tie • riblon .Plorg413-•;iert CL(ENi'`PROJ. NO, -LAB.PROJ. NO. • . -CHA NT OE CUSTODY- RECORD. FOR LEAD CL_iE475.PR9JEp1- NAME CLIENT ,Ify0EIA LABORATORIES, INC. i3i)O 11Uii1iams Drive; Suife'A. eriettt, Geo ie.3OO66�6299 : • (770)514-6333 LABORATORY AREA. :,fi:::.. ANALYSIS , :WIPES.:- ::. SAMF-LNG SAMPLERS: -(SEG P:TURE) RESERVED/. FOR . LAEORATORY USE CLIENT SAMPLE.. • REMARKS: DATE L7 ::.FAX (710) 5-1 6966 t3 ,TOTAL- . : AREA TOTAL:VOLUME: . . .. (di cls 1}nkt- ..:(Liters) : F Cz Olk `_ WI* Ralex 1Tma) r- t -= SAMPLE DESCRIPTION : f . • l,XO- tfvcr i triAff. Nitt rco .44,Aft RELUNQUISHEbBY` . . DATEJTIME RECEnvED.BY Dust.Wpes (ASTM E1792) Lot RELINQUISHED BY. .DATEmME : . ,RECEIVED BY: Wipe Cont ifler (AST 1 E1729). La## PROJECT. 'MANAGER PHONE NO; 4l.534S 5re•. J