Laserfiche WebLink
Hgenium <br /> 2255 Barham Drive Suite A Destination CHAIN F CUSTODY RECORD <br /> Escondido,CA 92029 Facility DATE: 9/9/2014 <br /> TEL:(760)745.8790 FAX:(760)7464786 PAGE: 1 OF 1 <br /> LA90RATORY CLIENT: <br /> In enium p 6 a P.O.NO.: <br /> ADDRESS: &C Painting Solutions <br /> 893 Ames Ave Milpitas CA 95035 PROJECT CONTACT: :; :(JIJG . <br /> Norman Lum kin Ell 0. I ❑❑ <br /> SAMPLER(S):(SIGNATURE) COELT LOG CODE ::.(0Sh...... Gll ?7; <br /> TEL: FAX: E-MAIL . <br /> 916-206-9680 -89 Mg- <br /> -TURNAROUND TIME <br /> ❑SAME DAY❑ 24 HR [-] 48HR ❑ 72 HR ® 5 DAYS ❑ 10 DAYS REQUESTED ANALYSIS <br /> SPECIAL REQUIREMENTS(ADDITIONAL COSTS MAY APPLY) <br /> ❑ RWQCB REPORTING ❑COELT EDF ❑ <br /> ® SPECIAL INSTRUCTIONS <br /> SAMPLING uo.of <br /> SAMPLE ID Field Point Name T' eoNe. <br /> DATE TIME RIX (, CONTAINER TYPE <br /> G—/q -ol Sand Blast Media 09/09/14 S 1 Glass Jar <br /> Refs by:(Sig R i ( ' ureT Date: Time: <br /> 1, <br /> Rern n by: s. ai p R : Si � 9/9/2014 ,r <br /> tvT �• fi( ®e: �� Tfine: <br /> (its �-tom <br /> Re nquisPred by (Signature) R ived y(Signature) Date: Time: <br /> e <br />