Laserfiche WebLink
U e • h r <br /> 8885 Jarvis Drive Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> UO�A ANALYTICAL �19 Striker Ave , 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01.A <br /> JZ U 404 N Wiget Lane I Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> VO CHAIN OF CUSTODY u 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Company Name — _ _ Pro ect Name r Y <br /> Mailing Address j `[ Ll A u J`,�� --� Billing Address (if different) — — <br /> City �y —_State ' Zip Code r f _— --— —_ <br /> Telephone c�i)�j' 1�f Z c-_?U FAX # ZC19- j PO # <br /> Report To << Sampler l � QC Data Level D (Standard) U Level C U Level B U Level A nim. U <br /> Turnaround Working Days U 3 Working Days U 2 8 Hours U Drinking Water !� Analyses Requested <br /> Trate U 7 Working Days U 2 Working Days U Waste Water <br /> U 5 Working Days U 24 Hoursnther[y� Fia. <br /> Client Date/Time Matrix # of Cont Sequoia's <br /> Sample I D Sampled Desc Cont Type Sample # Comments <br /> Oct <br /> s <br /> 2 Cr <br /> A 1 �1+1;"ted 3, — !� ✓ <br /> 7 � <br /> Cr <br /> 8 U) <br /> 9 _ _ CD <br /> r <br /> 10 <br /> Relinquished By _ �, 31 Date Time Received By lJ Date ime <br /> Relinquished By �� Date /�fp Time /y,/y Received By Date Time <br /> Relinquished By Date Time Received By Lab %`rc.�%'� Date ���'��� Time 1 -(L <br /> Wire Semple. Hereived if Good CorAtion? U Yes U No Samples on Ice? r�1c'. s U No Method of Sli pmenl �3,�11!�r�v r� Page of <br />