Laserfiche WebLink
I <br /> 37879 FGL INC. <br /> Laboratory Record No. <br /> 1 <br /> Account No. <br /> Date Received r I Time Received <br /> Client ESV ti <br /> Street P.O.BoxQo� <br /> City 'LNZip Cade 9S -d <br /> e� I <br /> Contact Person Lr Phone No. ( Ll- 3,13` ' <br /> TYPE AND NUMBER OF SAMPLES S <br /> AG LAB: Soil Leaf Petiole Fort. <br /> Nematology Pathology Amendment <br /> Other <br /> I <br /> RADIOCHEMICAL: Gross Alpha Gross Beta Uranium <br /> Total Radium Radon Tritium <br /> Other <br /> ORGANIC LAB: Drinking Water Waste Water Soil <br /> Sludge Produce Other <br /> INORGANIC LAB: Drinking Water Waste Water Soil -2— <br /> Sludge— <br /> Sludge Produce Other <br /> BACTI. LAB: FISH BIOASSAY: <br /> SAMPLE CONDITION: Ambient Cooled ✓Accepted des No <br /> It Unacceptable State Reason: <br /> Was Client Contacted Yes No Person Notified: <br /> Date: Time: Chain of Custody: k--�es No <br /> Custody Seal: Yes No Other 4 ' <br /> REMARKS/SPECIAL INSTRUCTIONS194 Cs4 <br /> — I Tv- 1 0211 724— i <br /> - 2 1 0 <br /> Sampler:S Date: Time: Mileage: <br /> Copies to: <br /> Code: Cost: Santa Paula Visalia Stockton <br />