Laserfiche WebLink
CITY OF STOCKTON MUNICIPAL UTILITIES DEPARTMENT <br /> Custody Transfer Record ! Lab Analyses Request <br /> Write In shaded areas only RIS ...... . <br /> Sit* � :.:Sart�p. �.:.I?.:. ;::::: :.:::.: ANALY5E5 REQUESTED <br /> Soule <br /> Lot# <br /> A <br /> R <br /> Lab ID J <br /> Sample Location I Descrtplion I I.D. P so, cari• Vol. G Sa. Time Pres. gar <br /> Type Tree C Date Coil. <br /> CI <br /> Q•:''{:i <br /> /l <br /> sen o sam les? Y r <br /> Evklence Ta e: Pre t n t rV..,. <br /> P <br /> ..�`�'�.�'.�iin�`tl'51..••�•n.��'iii'iiiiiiiEiEil'iiiiiii <br /> Unbroken on sam les? Y or _N <br /> ' iii iii�ii ;ii i'iii"iiii'iiiiiiii'i?isi�rifiiiEi?iiii'iiiiEiii':i'•.i EiiEi? �:ii`;�iii'i' si.'sii'iii;`ii; <br /> od Gond on r N <br /> ••'••••�•••'•'�•�•' Samples were received in go � ? <br /> Released qy ' Received by Date Time Released by Reoeived by Dale Time <br /> Contalner Type: P-Plastic G-Glass A-Amber V-VOA Container Volume: L-Liter G-Gallon P-Priority: 1: 5 working days 2: 10 days .3: 15 days <br /> Sa.Type: W-Water WW-Wastewater S-Sludge X-Other G/C: C-Composite G-Grab 6 M: Cd,Cr,Cu, Ni, Pb,Zn <br /> i VM17E-File CANARY-Lab 1 PINK• Lab 2 GOLDENROD-Sempbr <br /> ' � rev 07-20-03 1'rt vw:rAFORMs:crn <br />