Laserfiche WebLink
LJ ui� Jit1NUk 7u I ll; 0 1 0dL:Jail1R;111U, LH :);3(3J9 • (y 1U} `.i1 i-JUUU I NA `J; i-U IUU <br /> \/ CHAIN OF CUSTODY X404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 968-9600 FAX (925) 988-9673 <br /> �pjl ' !U 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1665 FAX (707) 792-0342 <br /> Company Name:GIZ1=.�(� .� �N N C , Project Name: TO S L RZV (� <br /> Mailing Address: (0 S eA�jQk, C-��/ S �; u Billing Address (if different): t <br /> City: ip State: C Pr Zip Code: 4.�Q 'T0 S CO <br /> Telephone: C� 1 SSFAX N.- 5-51 -- U 3F P.O. 4: lro 9902025 <br /> Report To: D O U.G- L&P— Sampler: �— v� OC Data: Revel ❑ (Standard) C3 Level C ❑ Level B ❑ Level A <br /> N . <br /> Turnaround 0 10 Working Days U 3 Working Days U 2 -8 Hours U Drinking Wafer Analyses Requested <br /> r: <br /> Tlme: 0 7 Working Days U 2 Working Days U Waste Water C� <br /> ❑ 5 Working Days X4 Hours X01her <br /> Client Date/Time Matrix ft of Cont. Sequoia's Comments <br /> Sample 11.D. Sampled Desc. Cont. Type Sample <br /> 1.W--ST I VO A 902015 0 <br /> 2. <br /> 3. <br /> 4. - <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> Relinquished By: Date: Time: "? ' O U Received By: Date. j1 Time: <br /> W40—OW A <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? >es iU No Samples on Ice? 1-6�es U No Method of Shipment .Page..of_ <br />