Laserfiche WebLink
TestAmerica Pleasanton <br /> 1220 OuanLeve / Y�l�l p Chain of Custody Record IINpIIb RI�IN�I�I�III�NII��III IIIItl�I Test�4merica <br /> Pleasanton, <br /> CA 94566 ` Ill <br /> Phone(925)484-1919 Fax(925)600.3002 „u u:aoca m suprtuw4cRrec trsnHD <br /> Sam"- Lab PM: Cam«Trnoellg'NOW: COC No: <br /> Client Information (Sub Contract Lab) Duong,Paloma R 720-31057.1 <br /> DIIMI cattpa Phone: E-Mail: Slated Onom: Pape: <br /> Shipping42ecoiving Paloma.dtlong@testamericalnacom California Page 1 of 1 <br /> Compiler.I (She note): Job V. <br /> TestAmerica Laboratories,Inc. NELAP-California:Stale Program-California 720.75507-1 <br /> Address: Due.Date Requested: Preservation Codes: <br /> 4101 Shuffel Street NW, 11/4/2016 Anal sis Requested A-NCL M-Hexane <br /> Cry. TAT Requested(days); <br /> 9•NAOH 0-A&SA <br /> North Canton c•znapelam o-Aewoz <br /> SIaIr.Zip: 0.146 Acid P•Na204S <br /> OH,44720 E-NaH504 D-Na2S03 <br /> Pnone. PD a: _ F•MaOH R-Na35203 <br /> O-AmcMa S-H2sC4 <br /> 330-497.9396(Te0 330-497.0 72(Fox) — 11-AsaeEic Add T-TSP prodewhydrate <br /> FinMc WOk Z I•Ice U-AcelMe <br /> J•DI Water V-MCRA <br /> project N.M. Project M: = `o n K•EDTA W-pHAe <br /> McDandald IslandProduction Tank,Ill 72009842 w 6 E L-EDA z-ale«Iso«ityl <br /> Sem 55001 E Other: <br /> y' v0i rc `b ''.. <br /> Sample Matrix sit E <br /> Type LL <br /> SampleIIG=grab) <br /> C=comp, a...n.ar 9 •� <br /> Samelo Identification-Client ID Lab 10 Sam la Date Time antw.,..a... G ae' $n° n 12 Special lnstrucllonslNote: <br /> Presentation Code: <br /> N WHISKEY SLOUGH-TANK#G6(720-75507-1) 10/28116 15:10 Water X X 1 <br /> Pacific P <br /> O <br /> M <br /> 00 <br /> W <br /> Note:Since lob«31«y wasedlaeMa«e spelpa to ehanpe.TestAm«iw Lap«al«tM.Inc.PI..me ceMershp d metnw,analyr 8 aconobtahan coaplanw upon M subwneacl law atoues. mss aamplp 6rIpmMl6law«aw untl«chain-d-o,stwy. l the laaoml«ydpas mol <br /> Mrenryrwinlan awepler«In mp Stale W Oupin isled aww fd en Wydsdeslalmalaa O+tlnp enalttw.lhe samNpS mud bplhlppw bxl In Ino TClWnppa lepael«y«omar lmWwms Wll w«avped. Any chatpes to acrJwitoboh status should be thought to Tesminvica <br /> LdwlNprbl,Inc.apMllnnlmmMblDly, <br /> 11 so leauesled aarwiUrMsare variant to date,return Ne signed Chain of CuslMyanesNlp to said now4cnce la Tod"erCa Lawalerpes,Inc. <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed it pies are retained longer than T month) <br /> Unconfirmed �ftefum TO Client Disposal Lab �Archtva For Months <br /> Deliverable Requested:I.It.III,IV,Other(specify) Primary Deliverable Rank:2 Special Instructions/OC Requirements: <br /> Empty Kit RellnqulShe by. Date: Time: Mammo of&Ippment <br /> Ratinplpshed by Data/i lap' Company Roc apthb pa im Conan <br /> OL 1 Lo l <br /> RdinptleMdb. Da CnmDan Company <br /> N <br /> p Relnyaehw by. D«Mlmp'. Cpmppey ReaNveO EY DalaRlme: Cpmouny <br /> CustodySeals lnlacC Custody Seal No.: cod«Tanperawrp(el"C and Oupr Renpna <br /> n Yes ] No <br />