Laserfiche WebLink
QOOIA ANALYTICAL (680 Chesapeak J \,e - Redwood City, CA 94063. (650) 364-9600 FAX (650) <br /> i ❑ 819 Striker Ave., Suite S Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-0106 <br /> CHAIN OF CUSTODY ❑ 404 N.Wiget Lane -Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: rte` (1-ssoc was �w� Project Name: S jsQ s,�-%-a . � <br /> Mailing Address ��`� � L� Billing Address (if different): <br /> City: �� State: L Zip Code: cl S3 S <br /> Telephone: Zig. S�� ZFAX #: -z-c)g. 15-n. ZUS P.O. #: <br /> Report To:T—,,,,„ L� -�ei'► 4v� Sampler:T,,A Lj 4 QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> .x <br /> Turnaround10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 Hours ❑Other o <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample 11.D. Sampled Desc. Cont. Type Sample # ate ' Comments <br /> z-z -4q S <br /> •.ksrs <br /> i 3 1. -s -zo g�ti 5ot L sL��t 9�3D%�- LU <br /> i 25•►sfl —z5. 1`'-x{5 —ZZ. <br /> -7-3 0 <br /> 0'•CA7 <br /> C <br /> 5S� s`-yo. 6—7 <br /> 6. <br /> 7. V-5,6 x <br /> �'1. ,33 g T <br /> Cr <br /> s. vSD � <br /> &C , <br /> 9. <br /> 10, <br /> Al <br /> Relinquished By: Date:2.2(..79 Time: ic):ay Received By Dater Time: ra-1 <br /> Relinquished By: , Date ' �� <br /> 7ime: d Received Dater/ f f Time: IY/U <br /> Relinquished By: Date:*3-t'? Time: Af10 Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes D No Method of Shipment Page—of_ <br />