Laserfiche WebLink
CLS - If as gg� <br /> CHAIN OF CUSTODY CLS ID No., `� LOG NO. 26621 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS J r �/��j a b q <br /> DESTINATION LABORATORY is � - <br /> T Y IT U 2 CLS (916) 638-7301 M �- <br /> 3249 FITZGERALD RD, <br /> PROJECT MANAGE D I'Y ¢f�nPHONE % o RANCHO CORDOVA,CA. {U) COMPOSITE: <br /> PROJECT NAME J u V 95742 m \� <br /> SAMPLED BY (�v ❑ OTHER D 1,11 <br /> JOB DESCRIPTION C ?�.-' <br /> N Q TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LO TIDN W60 <br /> DATE TIME SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. TYPE <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL 13}rCOLD <br /> (2)HNO, (4) <br /> L QU HED BY(SIGN) PRINT NAME/ OMPANY DIA}T/E�/TME REC V DAY(SIGN) PRINT NAME/COMPANY <br /> RECD AT LAB BY: _ DATE/TIME: CONDITIONS 1 COMMENTS: <br /> SHIPPED BY, FED X ❑ UPS .OTHER AIR BILL# <br />