Laserfiche WebLink
CALIFORNIA WATER LABS + P.O. Box 4249 + 1430 Carpenter Lane - Suite 6 a Modesto CA 95352 + (209) 527-4050 <br /> Date:�3ff /1 /g__ �l� <br /> 0 R 0 E R F O R W 0 R K Order' IgA-yl--------Q-0 <br /> Time: 52' � Pe By: .l_'J_1/l_----- <br /> C L I E N T I <br /> c Contact Or <br /> Client: df=RJA C ____________________ Phone: (...,___)�4 --yy_ Representative: --�07-7 __--------- <br /> --------------- <br /> Address: -------7-3!-_`]Anal----------------- City: -------A40 ----------- State:(" _ Zip: ---`-S .S/-- <br /> BILLIN61 <br /> — Purchase Order Ta,3 AJUM� <br /> Bill To: ----- <br /> C_`d(v---------------------- Phone: (-------) ``- ken--- Or Contract No.: ----a"u a-------- <br /> Address: -- / " /l r��f------------- City: -----/./ ---------- State: L'� 2ip: __�5------------- <br /> Payment: I . Cash f............ Check f------------ Credit Application :!Other: __-&xY___________________ <br /> n S A M P L E L O C A T I O N I P R n .I E C T ti. — <br /> Address: -� v —�' 1 d11[Ztt!—------ City: --- ---Lo --------------- State: y,6 lip: --------------------- <br /> Cross lO UAlta115 <br /> Street: 1�WY �2 �X�i ('tEM�c --- U.6. Tank Removals: Number _ ____ Sizef__ Gals Type wyo!c <br /> Count &&)--L94Ry-u,]___________ NOTE: Attach Any Special Instructions Or Diagrams As Necessary. <br /> SCHEDULING ] <br /> ll!` One Time Only II Weekly Monthly I__ quarterly 1__ Other: _______________ Start Date: <br /> Results: I �outine Silver Rush 1__ Gold Rush <br /> a Time: 10 Workdays 5 Workdays _ 2 Workdays ----------,-_____________ _________ <br /> y Y <br /> a Rate: ! List Price ! 1.5 x List (Needs Lab Director's Approval) ! 2 x List (Needs l+b Director's Approval) <br /> Lab I.D. t Test Code Test Description/Nmthod Comments qty List Price Discount Costs Incurred <br /> wis (8010) f z s <br /> &FDqq1 ad3 rn 4 <br /> s6/W-pu <br /> toss 5a s > <br /> f f <br /> s z s <br /> s z s <br /> Digestion, Extraction, Filtration, Or Any Other Special Handling Per Sample f t f <br /> Field Service Charges f <br /> I A,UI< `I EAt�Jq� <br /> Total Other Charges f <br /> TOTAL JOB COST f <br /> Rev: 05/19/1988 <br /> File: INTAKEI,FRM Page t of 2 <br />