Laserfiche WebLink
1061 LirLdW0 Notoge ntn. M .���='b LDT <br /> 141 Suburoad,Suite C-5,San Luis Obispo,CA 83401 phone(805)545-96 fax(805)545-0107 <br /> `� ORDER # <br /> Client me <br /> Contact <br /> � Y1CCV150 I �tiL ° r Phone Qua Date <br /> Address f <br /> 75 city State <br /> �r c�o C (` zi mal r AT) <br /> r $7�t2 Fax _ 2 l 2 Other <br /> Protect Name 1 Number � 2 hour hour 72 hour <br /> P O # Cell I Beeper Copies To <br />� �� d� p <br /> Bill to If different from above) <br /> Address City <br /> State zip <br /> SaMler Name(PrI t) <br /> � Com ents <br /> 0 �Q�;7h j c � � Mair a DW=Drinking Water <br /> Data!Time � DSC Qis'1 ��CO� Q=Aqueou St,=SOU/Solid <br /> Sam Is Description Sampled � #of_ <br /> aeek <br /> Analysis Matrix Bottles Preservative Mottle T Cr=- Lab <br /> 9/1 01 �g j s �i(s le <br /> _Vtd <br /> MVV 11 40 <br /> - <br /> ° [$$ aa- T PI4ff/P CX > S ocs $ �� <br /> M _- <br /> �'�10 Pled AO --F-- --- ---- - -- ------- <br /> 'Or-f 1137 <br /> 2D il03'- M6 f fTGX 1i FOGS UO43 G1 <br /> Q11 <br /> _ ----_ <br /> I T 1 i G �'� "" r ,�� ` <br /> �JA - 11373 <br /> 114 <br /> W a A -.--- _ - -1+ -- - ------------- <br /> 07� <br /> INDISHED BY 7 �+�------,"£�--------- <br /> `-- �-�- -- <br /> St Print Date!Time RECEIVED BY <br /> 1 Organization _ - - - gnDate 1 Time <br /> Print 0_Z_ C <br /> -------- Creek Environmentat <br /> FDR uB USE oNCY Sht tri Method Client / Lab / Courter j t) C laboratodes Inc <br /> Sam ie Cond�ttons Intact / N Cold C Y// N Custody Sealed y / N <br /> 102Q <br /> EMARKS: , _ r` <br /> - <br /> mys d <br />