Laserfiche WebLink
OUOIA ANALYTICAL ❑ 680 Ches a Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650} 9233 <br /> n ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 1W CHAIN OF CUSTODY ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (510) 988-9673 <br /> , R <br /> Company Name ATl Project Name <br /> Address ; 7_ L �fa1-tS 6� t^rc Billing Address (if different) <br /> City q X-j State Zip Code 7 3,;- j <br /> Telephone G �f5_-j 1._"LZ ( FAX # Z Cq '591 - V W PO # U <br /> Report To l�, ,�v ; �� r 4.-. Sampler {c.0- Calf-t, r. ZI QC Data Level D (Standard) ❑ Level C ❑ Level B ❑ Level A , <br />� Analyses Requested � <br /> Turnaround ❑ 10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water y q a <br /> Time C3 ❑Waste Water 7 Working Days ❑2 Working Days <br /> ❑ 5 Working Days ❑24 Hours ❑Other 7 <br /> Client Date/Time Matrix # of Cont Sequoia's Comments <br /> Sample I D Sampled Desc Cont Type Sample # A co <br /> G�Z r� i��3 � ,L e 0 <br /> 2 ig-+ gtill Ito, tN �u � X C/ <br /> 3 �Qt;�-'a1110-VJ 101 11`c�� �, ' 1 ' \ 'r <br /> 5 <br /> 6 <br /> 0 <br /> 7 <br /> $ Cl) <br /> a� <br /> I � <br /> 9 2 <br /> I ' <br /> 10 <br /> Relinquished By � �� Date y Time i5- r, Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Lab Date Time <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes ❑ No Method of Shipment Page—of <br />