|
�
<br /> � 6�51'78 ,
<br /> � �r f 3, „ *:
<br /> I N C 0 fl P 0 R A T E D :
<br /> THE ASSURANCE OF QIIALITY �g . Gf CHAIN�OF-CUSTODY�ECORD� ..
<br /> Analytical Request
<br /> Client � ;'d c3 Report Ta Pace Client No. �2—7 G��C�
<br /> Address Bill To: Pace Project Manager � (/
<br /> ,
<br /> - � � J '�„� ` ^' P.O.#/Billing Reference Pace Project No. �/(�j3,��Z
<br /> Phone � �-, �'� Project Name/No. "Requested Due Date:
<br /> Sampled By(PRINT): � PRESERVATIVES ANA�YSES
<br /> W REQUEST
<br /> � Z p
<br /> � �"f '. Q W
<br /> Sampler Si nature Date Sampled � � �
<br /> U W �,
<br /> �
<br /> LL W
<br /> � a � O Q �ti
<br /> . ' • • Z � _ _ ° �' REMARKS
<br /> ,.� � , � �� ���� ,� , � ���
<br /> ,
<br /> ,�a .,�°;, rs�.. .., -� �� .:^x a�,... �,�!. .�.: a;-.���,� �.,. �-. �a ,, � � s�,,,. �. ' � ��-�a�. � �,N z
<br /> ,;,....�� .,:.$!:..,. a. � -».. ,.-.,,:��`�"`,...��.,: , ."��".�.��,;,_."?�`... �:. .,_ ... �...� u,�u,,. .:�..„ '��,�' �'�' �E"��"� `�,�,� ,�"a`�� ,C'; � � � r,�a'��r� "?s>,!
<br /> .�„ :° t� f.�, .:zkKk� r � 4; x '� � �n� �k ��'. �, �'',^� s�'� .� � m �� � �s'� w''.
<br /> s';�,� .� � ;
<br /> . �,. ,., .�. ., ,;y n v
<br /> . . .. , e> . ..s
<br /> wn
<br /> �,
<br /> x+� ,�^�� f
<br /> ,�/�,/n t
<br /> [
<br /> s.+a,:,::v . :,.�w. ��*� ,a"�� �smf3,TM..,":,, .... ,s.ttv�. . � .w'. ..�-ro,� � ,� � r ��� r -•>za ,r��3" :^m ^,.� �„.2�a�K: � ..,Y'� , �.r .t u„ .>?�
<br /> ...... ,,,�...,:.�; �.,....v ..z... ..�, .. .�;"„ v.. ..� r.,,...:. .-,. ,.... ,z = .,....:s... ''.,-S�n... ,� :.,,� .�, �,� x,M'"'�",Ys? G'.. .8",�,^3� "S{. �.�-?.2#., � "m-!i�s"+"."a
<br /> ,�,�,�� ,.�„ ��� �r,�. .� ����� �"; „�' :.-�.�, . r'; '�rt�`, ..`r&y �;`�,: '�`'� �" .«,`er s�,� �. 3-� ,,,.3, z''�' �
<br /> � «:� , � a,� M�.2 =���' � � .�;
<br /> � �PF
<br /> � W
<br /> � �"
<br /> � � �
<br /> � � � �, .� .,�a. � �.��
<br /> .v . ��� � t� : � � �� � �� � r ,� . � ��fo� � � �� : �,:�
<br /> �.- �� . � � ,� ��.`��;..� �� �, �.�� � � � � �.r � ;� � � ,� ���
<br /> .,,q; q w�$� z��•�. <"k >_,� �'+,,,µ"'�
<br /> „..
<br /> � � . . � � . � . . . � . � �...:.,*r"..+.�'a"" . . . . .
<br /> `='��::: „�;, `s" *a-r ., y,`a°` �: �P.Xe�is. a, '-4°�:;�rva �H.� �'ra"" ' , .,:f::�. "`w °•.':.�. ..S^�§" fi : .,'9"�.' . . . ,s n"t� a'. 21�:° 7=.:.: 7^�
<br /> -,�- ' '*;s�",.�p ,..,, i�-"`".>,�t 'e u,> ..1 a {�+�' `,3�-�� A� 3� ''�, ��y, '�, S +��"� -
<br /> ,� � � �° � "'�, .'� � ��*�� �xiT
<br /> ".�J
<br /> ,�, ,„� ,... -� ,..; w . . ,. k�,,� ,,..,,,,a,,, w ,,.,k... , . � �
<br /> ..: :::,,. .�.#C` ,v,; z'���,PF�E ''RFi' .i �.� , .} ..'�Y.d" ..�. .; ��:, +�`�',t ....x. .,-� ez.>. f...e. �.` `^,i. '.Fk Y?'' �a:�tY�^. �
<br /> ...�5".tr,, ,:3... ..r.,U, :.`�'�a,&..,.. 9«,�..�� �.. ,:.'$�e`� .df. , ..� .��„ �_ @ ,....-, .�i a _ �:K ..,. 9� ..� .> `�d �:��. ..�,.: � 3:
<br /> .v,v.. „ .,.... _ .> ��_ "�:. � 5 .°�, � ro � .,� 4 „. .* , .:� � . � � � _*���a. , ���.��- �����'���� �
<br /> ,� . „.;� , �,. ,�,�.,, ,����. t , �,, v;�� `�.��� ,��� �
<br /> �a , o ��,� � .. � � � ��
<br /> � _ ,. �n,
<br /> �.. � �.:._ ��.--.� -� r� „ .� .,...x,ro„r �€e..
<br /> R
<br /> �ae,. n»,r,., �:a §� '� �.... . � . � - . .. .. � �,�v� ,? t�m-tt .��.z �'c'}t�++.fz ;"t?� m�,, � n
<br /> .,;.�, ,.: �„� �m s � °U:*� ;� x "< � !�� �' �"��,`�- � "s �,�,��� ��;3`�.r ���<�� ,zi
<br /> � � ,�x^,�, ,~�� � "�,, „'� � �� 4 �" �� �'� �.
<br /> �'�,='4'� x'�..'��:.. "�"z.,`r':e"r'»�'"s'^�` � �"k.� ,. h .,. <,� ..� . ...> . ..��n,. .,. t , ,.:�F,* ,:.0 �"'��n,�,-..:a.-.. . ,�:, y `mzr�t� '�'[p ,,;ti�' .4zr`.. ',�g ,�`+�.,�t�: �
<br /> �,v;.;, _ ��� � � a,,,; �� �,��� .�, . �.rP � , 9 . s .,< s a� ��t��":�a�� °�����, .���a �'� .� a.�: -s ,,��r^���;,��
<br /> ,���� r: x., 5 zgY �
<br /> �,. ....�� ..,,� , �L . ...,. „ .
<br /> _ ,e. „ ,t.. .
<br /> �y , � � e�� �
<br /> s.
<br /> .{! .. . , �. ., .�. t� :... - ,�� .� '., .t . .
<br /> •• • • :• • • , • �._...�� , ,. . ! � � . • • �
<br /> '�,.�`� t k`rv _ '�X :� ,..x. `, r��Y. }. �'i
<br /> i
<br /> Additional Comments "'�� ��"��������������� ` � ���;�������
<br /> , s , ���<,. , . , , �., �..
<br /> � . s� � � , � ��°
<br /> �, ,, � : �.�°,�", � �+.���`F„?�� �F�`;'
<br /> fis.
<br /> . _ _ ,. p: ,:k, ^ 5.�.;, +az.�' � ,Ll, ;`1�"-.' .',.2."��. ..fiw 3 ✓�gge.aA t�-%
<br /> Y. �^_,
<br /> .;.� a. � �i'=, "�„�,x,�"�' � ne��� ����a�?;3���"��Y "��n r �,�:
<br /> , r `.�x.;;� . � �+.�,.�a �''�+��'"�'�*�"'�"`� "�-�"��',��.t '�`��.'�."�'� �`�',�`. �.'�,�`��`",�'�
<br /> � �
<br /> �
<br /> 3 .-� SEE REVERSE SIDE FOR INSTR�ICTIONS
<br /> ' _ �.�", �
<br />
|