Laserfiche WebLink
KI FF O Davi 2nd Street Suite 300 <br /> Davis,CA 95616 I✓\/_ <br /> Analytical LLCLab: 530.297.4800 SRG#/Lab No. Page 1 of 2 <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): Paul California EDF Report? 0 ys ❑No Chain-of-CustodyRecord and Analysis Request <br /> Anderson,PSC Environmental Services y 4 <br /> Address: 210 West Sand Bank Road Columbia, Sampling Company Log Code: TMSLLINI,Q110 Analysis Request TAT <br /> IL 62236 n <br /> Phone: (618)281-1543 Fax:(618)281-7020 Global ID: 70607700653 0 S ❑ <br /> 'c 12 hr <br /> Project#: 62403335 P.O.#: EDF Deliverable To(Email Address): ❑ O <br /> PSC-62403335 panderson@pscnow.wm m _ :a m 24 hr m <br /> Project Name: Sara Lee-Lincoln Sam ler Signature: a ¢' a r ; <br /> ¢ W ry n m T- Elw W O ¢ S u <br /> Project Address: SamplingContainer Preseryative Matrix g m m $ <br /> 4❑8 <br /> h <br /> r <br /> ti <br /> 1444 S Lincoln Street <br /> Stockton,CA EONa m <br /> 6 m La 21 72 hr <br /> 0i x O 0 <br /> mm mO E <br /> o 3 P F2 n ❑I <br /> hinternc71: z Sample Designation Date Tt1wk <br /> MW-1 12—/0 //&M- 41 X X1 I I I X X X 1XIO <br /> MW-1DUP /N 41 X X I I XXX X 02 <br /> MW-1A 4 1 1XIX I I X XIX X 03 <br /> } MW-2A 1#9C 4 1 1XIX X X X X 04 <br /> �F MW-3A 690 4 1XI X X X X X 05 <br /> MW-4A 30 4 X X X X X X 0 <br /> MW-7S /•S 4 X X X X X X <br /> 417MW-7D So 4 X X X X X X VE-1 �' 4 X X X X X XCT-MW-8-87 4 X X X X X X <br /> Relinquished hy. Date Time Received by: Remarks: <br /> f4G-- /`L►-�—Cz--- ol-la-/0 �4 <br /> Relinquished by. Date Time Received by <br /> Bill to: PSC Environmental Services,210 West Sand Bank Road,Columbia,IL <br /> (13 01 <br /> Relinquished by: Date I Time Recei by abo tory: For Lab Use Only: Sample Receipt <br /> Wo 01 X31 V Iy�0 r'71 A J , Temp'C Initials Date Time Therm.to#I codon P—na <br /> O H '—Q, <br /> Yes I No <br /> N Distribution: While-Lab:Pink-Originator <br /> Rev: 051805 <br />