Laserfiche WebLink
icQUOIA ANALYTICAL . 9'6'80 Chesap: "ke Drive • Redwood City, CA 94063• (650) 364-9600 FAX (650) ;,`,9233 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> qw-;CHAIN .OF CUSTODY ❑404 N.Wiget Lane• Walnut Creek, CA 94598 • (510) 988-9600 FAX (510Y988-9673 <br /> Company Name:4AC Project Name: <br /> 4 <br /> Address:j2(.0 Billing Address (if different): <br /> City: /;Joe/0_5/_0 State: ' Zip Code:95'3-1 J <br /> Telephone: . _ FAX #:20 9-571-zz P.O.#: <br /> - . 2 <br /> Report.To: Sampler: Ar_X OC Data. �Kevel D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround WXWorking Days ❑I Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> EL <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water <br /> w ❑ 5 Working Days ❑24 Hours geher <br /> Client Date/Time Matrix #of Cont. Sequoia's Comments <br /> Sample I.D.: Sampled Desc. Cont. Type Sample # <br /> 1 lowit e VJ cc en ,+dr, <br /> IOS J ° o <br /> 2: ' M11�� Yn o.SPPb v <br /> 0 7r X. Co <br /> t Fuse <br /> 3: v►�-3 .3 o ie$ <br /> 0 y <br /> 4tilow Ah <br /> • rd law 5 O& �l <br /> 5. <br /> . . <br /> 6. .: k Ns <br /> 3 , <br /> 7. mot <br /> AM ' I0 <br /> T IL s <br /> . ,. . ams <br /> 8. u3 <br /> m <br /> 9. t <br /> 10. <br /> Relinquished By: ¢ Date:f g Time: Received By: -_ A �, _ ' J4� Date: Time: 7 <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes 0 No Samples on Ice? 1QYes ❑ No Method of Shipment Page I of <br />