Laserfiche WebLink
,. - � iie ir?MnM1 Oborat 'ies Ince 1a � CHAINOFCJSl`�Dy <br /> P �j <br /> i41 Sublin Road,Sufis G5,Sari Luis Obispo,CA 93401 phone(805)545-9838 fax(805)545-007 r�r ORDER # f� ! 6 V`7 <br /> j <br /> Client araeContact /' Phone Due Dale: <br /> n Sc.4 {�14L C�CC1 `� . 1fZ'� <br /> Address City State tip Faxa! Y.A. Other <br /> 7� a (j , 6 „"J 9 2 hour hour 72 hour <br /> Project Name l Number PO. # Can l Beeper Coples To: <br /> !��2�-�� Ls- - , I <br /> SHI to, (it different from above) Address City State Zip <br /> Sammler Name(Prf "�nts: �=Aquewo <br /> W Drinking Water <br /> ' Cctbkths UIc D,SC out% ROI SL isSolifSolid <br /> U <br /> Date I Time 9 of Creels <br /> sample oescri tlon -Sampled Ana is r Matrlx Bottles preservative I Bottle Twe lab Sample <br /> l <br /> Awl <br /> 1, �," J� • lux <br /> 1 4 � 7i <br /> Ng UIS, ED BY [We Mme RECE"D DY Dafle I Time <br /> Si print P" p 0 <br /> + O / , <br /> Creek&wbonmental <br /> laborwofts Inc. <br /> FORLAirvsEoYLr• Sh1 InI Method; Client / Lab 1 Couner Q Sam le Con tCtons; Intact.( Y 1 Nay Cold: Y 1 N �j°COmtod Sealed Y t 1 <br /> s p <br /> REMARKS; �` '= �l t or <br />