Laserfiche WebLink
V <br /> A� Analytical Sciences CHAIN OF CUSTODY <br /> P Q Box 750336 Petaluma,CA 94975-0336 <br /> Nv 110 Liberty Street Petaluma CA 94952 <br /> (707)769 3128 Lab Project Number <br /> Fax(707)769-8093 Client's Project Name New West <br /> Client's Project Number NWP52 004 <br /> CLIENT INFORMATION'F <br /> Company Name Apex Envtrotech, Inc GeoTracker EDF X Yes No <br /> Address 11244 Pyrites Wy Global ID T0607736979 <br /> Gold River,CA 95670 ,TURNAROUND 77ME(6heck one) <br /> Contact Jennifer Worsley Same Day <br /> Phone# 916-851-0174 48 Hours 24 Hours <br /> Fax# 916-851-0177 5 Days X Normal Page 1 of 2 <br /> e-mall iennifer@a exenvirotech com <br /> ` ; �' ANALYSf$a n w <br /> m <br /> N <br /> N � <br /> Date # Presv (j o Lab <br /> Item Client Sample ID ALT ID Sampled Time Matnx Cont YIN U N c Comments Sample# <br /> �. co a+ <br /> : W x <br /> 2 <br /> i1 H n <br /> I— m t- <br /> 1 MW-1 MW-1 6-?Ta IIS,S water 3 y X X X <br /> 2 MW-2 MW-2 6-24-iX; IT.to water 3 X X X <br /> 3 MW-3A MW-3A 6-2q o6 1225 water 3 y X X X �Q► <br /> 4 MW-4A MW-4A 6-2?-c6 Iim g water 3 X I X X _p <br /> 5 MW-5A MW-5A 6 7S-06 /0,5' water 3 y X X X <br /> 6 EW-1 EW-1 6-21?-C6 132p water 3 X X X D <br /> 7 EW-2 EW-2 6-??o6 ltl5o water 3 y X X X —� <br /> 8 EW-3 EW-3 -Z?-cb IS5.S Water 3 X X X <br /> 9 EW-4 EW-4 -OYj obom water 3 --iX X X <br /> io EW-5 EW-5 /sZo water 3 y X X X LD <br /> - 'SICNA TURES " - <br /> Sampled By VxXE ,O,�Acxw,p <br /> Relinquished By Rece b Q <br /> b-Z4'y6 Egyro 6 ;,L0 6 I Z30 <br /> Signature Date Time Sig ature Date Time <br />