Laserfiche WebLink
a • • <br /> CLIENT CHAIN OF CUSTODY RECORD <br /> NAME `_16 J4 A.Jj r(_IW'I REQUEST FOR ANALYSIS <br /> ADDRESS j j /?FZ-c�cv tf e�7,4,D DATE 27 7-&- I Wright <br /> 5 4 T Z 4pgpE / OF Environmental 209 833 0758 -Fax 209 8325152 <br /> PHONE NO FAX NO. Services,Inc. 67 E 10th Street •Tracy,CA 95376 <br /> PROJECT NAME J _ <br /> SEND REPORT TO ! l; -�77 ° i� €l /�Lfi� r 9� f A ~y= i �._� G/�¢ _ '�?/�!L CSuL� 1 �✓ '� ;f <br /> ;,i V� w r,168 `~ TURNAROUND TIME ANALYSES REQUIRED <br /> PLER NAMEISIGNATURE NORMAL '4 <br /> RUSHCV ca <br /> 0 _ `v <br /> 1 � C Tom. t AV <br /> SAMPLE SAMPLING PRESER- CONTAINER SAMPLE DESCRIPTION _m �i n 2 ° <br /> NUMBER DATE/TIME VATIVE SIZE/TY <br /> PhE WATER SOIL OTHER [3 <br /> V-1 Ix <br /> COMMENTS �� ���� � � � 5� � 3 A ..I-I' PL-,5 <br /> Re itwkhed by (nature) Date / Received by (Signature) Date Relinguished by (Signature) Date Racal% by (Signature), Date <br /> 02 76& <br /> Company Time Company Time Company <br /> .Jr.�.r��""f� Time Company. � Time i <br />