Laserfiche WebLink
rg1 i haul m t.uSLooy http://192.168.2.2/fgl/PageSTK/SectionCustomer/login/chain/chain.php?CustomerID=3003... <br /> viRar�M��zaL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Little Potato Slough <br /> Customer Number: 3003641 m <br /> Address: 14900 N Hwy 12 `m <br /> Lodi CA.95262 <br /> Phone: (209)365-9646 Pea: ,g <br /> (209)3fi5-9fiGG <br /> Contact Person: Jim Spicer q 00 ✓� <br /> a <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number 1¢ m# O 126 <br /> isoi <br /> Sampler(s): ��i m a <br /> .� <br /> - <br /> SampOng Fee: Pickup pee: <br /> Compositor Setup Date: Time: Go <br /> ~ ~ J <br /> Samp Location Description Date Time <br /> Nom I I Sampled Sampled <br /> Fe CCIA 8 U fR.C'�'Cca PC 5N!iz (IA3�5- Ca 14 %1 1 F— I x <br /> ( Mq vii. sk10 1.-rG t nd— HISS ti <br /> I I I FIIII <br /> Remarks RelinquishedDate:Date: Time: ole: Time: Relinquished Date: <br /> 615 I'Z v -� wished s- �� 17&b <br /> By: Date- Time: Received By- Dm Time: Re i d By Date Time: <br /> 7/J,/, i��� �042711, r7l <br /> 1 oft ` � �1 08/08/2012 ls:al <br />