Laserfiche WebLink
(032 2 - (cs3 <br /> OE,Ct1STODY RECOF <br /> N s' ✓ r <br /> • r'1 �1 r; <br /> LISHIPPING INFORMATION <br /> ,Phone._uY tii r �X rr 4VF ty j.��.TC i t 2xt+rs 4r it 4 <br /> SHn IPR Ti,i`y � p ; sD ' ' Shper ` <br /> 3 QIP <br /> 0 ""••. + p. F r tr <br /> t: .. +•`, Address:- <br /> ',-� 1 -.`"tti �, �;° ?5„�•$ • dui s'a !'n7..i y,. .. s:: <br /> 3 r ” "` DateShippedi ���lYl.''. <br /> ;. <br /> Shipment,Servwe `- <br /> ' Airbill No. <br /> ATTENTION:- " <br /> Cooler No. <br /> PhoneNo.� y <br /> Re ' u shed : / `gnat r / j eived by (signature/ Date/Time <br /> Relinquished by: (signature) i Received by: (signature) Date/Time <br /> Relinquished by: (signature) Received by: (signature) Date/Time <br /> Relinquished by: (signature) Receivor laboratory by`.(si 'ature) Date/Time <br /> r:9 <br /> Analysis laboratory should complete, "sample condition upon receipt", section below; sign and return top copy to <br /> ,J. H. KLEINFELDER & ASSOCIATES, 1901 Olympic Blvd., Suite 300, Walnut Creek, California 94596 <br /> _Sample Site Date ' Analysis Sample Condition <br /> Number' Identification Sampled ' Requested Upon Receipt <br /> _ 006 F—PA MOEPA 07 eOZo -t' T�v� <br /> EPS i5 2J) <br /> //7s <br /> r <br /> �J�Y s <br /> -AB INSTRUCTIONS: Laboratory reports should reference and be billed by Site ID# and contain the following: <br /> (1) summary ofainjection/analysis methodology and QA work (blanks, spikesduplicates) <br /> (2) dates for (a) sampling, (b) lab receipt, (c) extraction, (d) <br /> (3) detection limits for all constituents analyzed for and reporting of all constituents detected which were not <br /> specifically designated ' <br /> (4) L <br /> (5) .e A e 5 f � f Lr'1 Z. z' l'I' {. S-Y. S+;r ka-m✓1 . <br /> G ri g IF �-r'ke �/. 95 0 5 <br /> i., <br /> White - Sampler `Canary - J.-H. Kleinfelder & Associates Pink - Lab Courtesy Copy <br /> IHK&A Form Mb <br />