Laserfiche WebLink
� i i ttti ;, i Ili i � i i i i i i Nov <br /> CAS-EP ANALYTICAL LABORATORY G ,S CHAIN OF CUSTODY <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE OF <br /> Phone 12091 384-2930 - Fax (209) 384-1507 <br /> Customer ( ( fC CC L D V 1 ' .i REQUES16i ANALYSES Method of Shipment <br /> Address '-1 UC,`) W( W <br /> City/State/ZIP -gL><`�-.1 C�`� �C S �° '-` <br /> Phone / FAX <br /> `{' — C 7 - a ►P- -6 y w 2 c. Notes <br /> Pro) / PO 1# asLU e 1 m w '° h o <br /> _j c a p ` eJ <br /> Report Attention ° a 0 o <br /> Sampler Signaturea $ m ~ lil <br /> Co <br /> Printed <br /> � ' z <br /> Lab ID# SAMPLE iD DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> Q LdOM <br /> -�/ QL 7 Z " <br /> 7 gar: <br /> -;- - fel -7 q <br /> SY <br /> ICH1,1111, RESERVAT ON <br /> NOD CONDITION - PPROPRIE <br /> HEAD SPACE ABS! <br /> Total number of oonlainers submitted to <br /> Sig ature Printed Name Date Time Company Name the labomloey <br /> Relinquished b til NS n t It 10':5 /,1 7 {� t ^s t? f , Note All special requests(e g quick <br /> turn limes)must be cleared through <br /> Received by I 2 = authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by RESULTS DUE <br /> Received by VERBAL WRITTEN <br /> c,a <br />