Laserfiche WebLink
TestAmerlce Sen Frencleco <br /> 122D Quarry LaneChain of Custody Record {{?�42-$ Te$t>�m@.�ICQ <br /> Pleasanton, CA 94566 �SY <br /> Phone(925)464-1919 Fax(925)800-3002 rata artAwam eNraiDingMiM tertwc <br /> 1791:17 <br /> lllp er Lab PM Cutler TrechYq No(a): No: <br /> Client Information Sub Contrect Lob Sidhu,Sudnder 720-6869.1 <br /> DMal Conlem: Phorw. E-Meat: Page: ' <br /> SNppi Gcelving audntler.oldhuetestamericelnacom Page 1 of 1 <br /> Compaq Jkst,C <br /> TeslAmedca Laboratories,Inc el els Requested 720.22619-1 <br /> Ado'sa: D.Date herniated: Preservation Codes: <br /> Omen 17461 Oen Ave, SUNG 100, 10/1/2009 <br /> A.ML M.Ho...Cly: TAT pufueatetl!!anal: 9•Na011 N-Nonone <br /> Irvine C-Zn Acp191a 0-MNe02 <br /> Sm.21p: - D-Mone Add P-Na204a <br /> CA,92614-6817 E-Na11504 0-Ne2S03 <br /> Platte: PO e. F-M M R-N962503 <br /> 0-A=Nm 5-92504 <br /> 949.261-1022(Tel) 949-261-1226(Fax) 1R 9[ 9-01xaiba Add T TIM Dodecohydmle <br /> Emaa WON: 6 v I-loo U-Acetone _ <br /> J-01 Water V-MCRA <br /> ProNet Name: Pmlem Y: � i N-EDTA W-ph 4 5 <br /> Jahn Deere Parts Depot <br /> 72005569 i # i L-EDA 2-oNulwecll') <br /> y D <br /> SM: SSOWY'. L F �ollar: <br /> Sample Metrix <br /> TyDa4440 0 4 { <br /> b a0 - <br /> W Sample (Cxomp, o....e„on 5 <br /> t0 Sem Is Identification-Client ID Lob ID Sample Date Time O= reb eT.T...au Y Wt yyu00n ab Yyy I Special InetmdlonaMote: <br /> m <br /> r <br /> SF-N(720-22619-1) 9/24/09 6:30 Solid1 <br /> 0 SF-E(720.22619-2) 9/24/09 9:00 Solid <br /> ro <br /> N SF-W(720-22819.3) 9/24/°9 9:30 Solid it <br /> N B-N(11(720-22619.4) 9/24/09 9:45 Solid X X Ov <br /> S-N(7)(720.2281 9.5) 9/24M 9:50 Solid itX X I <br /> S-M(17(720-22819-6) 9/24/09 10:00 Solid X X <br /> S-M(3')(720.22619-7) 924/09 10:05 Solid X X �1 <br /> S-S(11(720-22619.8) 924109 10:15 Solid x X 1, i <br /> BS(3')(72x22819-9) - 924/09 10:20 Solid X X <br /> SOIL PILE(720-22819-10) 924/09 10:30 Solid x x <br /> Possible Hazard Identification 6emple Disposal(A lea maybe assessed 1l samples she retained longer than 1 month) <br /> =Non-Hersrd 0 Flammable I--]Skin Want Polson S M Unknown RedlologIcal Refum To C1101 Dis sal B Lab Archive For Monflw <br /> Deliverable Requested:I,It.III,IV,Other(specify) Special Inslmctluns/0C Requirements: <br /> H Empty KN Relinquished by: Date: Time: Meewd of shipment: <br /> 0 <br /> RelipuMhad by. DaMmme: Company Ra�by DataMm . camp" <br /> Y ;00 <br /> w <br /> AM0quielwd by: DatanFw: Company paternal by Oe <br /> N <br /> O <br /> O Rall,qulehad q': oatwrMw: Company RecWed by. DeMy1M: CampMry <br /> b <br /> `*Cuatody,J'k,B..s�sl9lntael,e� odY � :dd��,,A} 1�'kr,J$ 'n 1`� a,' ^ 99F ) - Cedar TamparGtulq) era - — ' : ,s 14 . i <br /> fw�7A'^�.tVaeffiv�'e°Ma �r®Stbh il`yi'llu��.F' -'i 'l� ��: .. <br />