Laserfiche WebLink
�I"Ir" M <br /> Batch No " <br /> HYDR <br /> ENV 1Rr, MENTAL Chain of Custody CA PO-2089 <br /> TECHN k OGLES, INC <br /> 2394 Manner Square Drive, Suite 2, Alameda,CA 94501 Page _ °r <br /> 510-521-2684 (voice) 510-521-5078 (fax) pale 7/ f 3 /2000 <br /> Lab Name TBG Analysts Request <br /> Address 11350 Monier Park Place <br /> Rancho Cordova, CA 95742 y o o C;1 o g o ti <br /> X 00 <br /> Telephone 916-853-8010 F oc a Wi op y <br /> �" L F R N O Y1 <br /> Telephone <br /> 1w, <br /> W oo y o v v a E e v U <br /> Samplers(Signatures)n F ¢ F N , <br /> ¢ p N p E d o <br /> � V <br /> i <br /> d c a. � <br /> lrl N � Y V - N t] pQp v �., N C � L27 <br /> ea m n k m 'o b o _ > U o Q N til <br /> 0 of <br /> Sample Number Matrix Location ° C. A ° ° ° ° q 6 a 4 � ] U c v <br /> R F F C4 p F F F F > > > a a ..l a 0. F- a F a Z <br /> 1 0007 1 soil B-5 (fa feet) <br /> z 0007 I l S� soil B-5 '7 feet) <br /> 3 0007 1 i tab soil B-5 (?-z feet) <br /> G 0007 1 4'12) 1�' soil B-5 (Z7 feet) <br /> s 0007 1 14 25- soil B-5 (3o feet) <br /> e 0007 ''> I g �� soil B-5 (S; feet) <br /> 7 0007 soil B-5 (Lfz> feet) <br /> 8 0007 soil B-5 ( feet) <br /> 9 0007 soil B-5 ( feet) <br /> l0 0007 soil B-5 ( feet) <br /> Project Information Sample Receipt Relinquished By I Relinquished By 2 Relinquished By 3 <br /> Prejeci Name Central CA Traction Co Total No of Contamers <br />� <br /> Project Manager Chan of Custody Seals (Sig azure) ` (Time)( ign pre) (Time)(Signature) (Time) <br /> Avakian kl P k mo Lt°F �"tss•.� �-r - U <br /> job No 007-346 Ree d Good Condition/Cold �- <br /> on/Cold (Punted Mame) (Date)(Printed Name) (Fate)(Printed Name) (Date <br /> Shipping ID no Conforms to Record (Company) (c V('4 <br /> C4 t-t/ (Company) <br /> V f� 6J14f n <br /> Lab No Received By 1 Received By 2 Received By (Laboratory) 3 <br /> Hand 4 ! <br /> spwal Instructjonslt_ommenls (Signature), (Time)(Signature) (Time)(signature) (Time) <br /> LZ '71uI� � ) IZOVEP <br /> Standard Turn Around Time (Printed Name) {Date)(Punted Name) S100 (Punted Name) (Dare) <br /> f 3'� 1!, L- I S 100 <br /> (Company) (Company) (LAborato*y) <br />