Laserfiche WebLink
r r r r r �r w r. �■ .r r r r re r� .� r .� .r <br /> 2795 2nd Street <br /> K1 FF O Davis,CA 95616 Suite 300 <br /> 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? Q Yes <br /> Anderson,PSC Environmental Services ❑"O Chain-of-Custody Record and Analysis Request <br /> Address: 210 West Sand Bank Road Columbia, Sampling Company Log Code: TMSLLINt,0110 Analysis Request TAT <br /> IL 62236 <br /> c <br /> Phone: (618)281-1543 Fax:(618)281-7020 Global ID: 70607700663 0 or ro ❑ <br /> ® 3 v12 hr <br /> Project#: 62403335 P.O.#: EDF Deliverable To(Email Address): o " w c <br /> O <br /> PSC-62403335 — w ❑m <br /> Project Name: Sara Lee-Lincoln SamVer Signature: �A m a N a S ; N 24 hr <br /> anderson <br /> p @pscnow.com <br /> Lr m g o n <br /> a $ $ m a a N m m $ ❑ m <br /> Project Address: Samplln ¢ Container I Preservative Matrix a m ¢ W w w c �. 48hr <br /> 1444 S Lincoln Street a <br /> Stockton,CA i 0 $ m w w a <br /> 6 <br /> m m a o e `� % O _ y a ❑ <br /> V d a a a w m > m LI e m o ;� a c 72 hr <br /> UP x 0 0 0 2 q <br /> p a'S w w C7 w r7 m d m m m F o <br /> Sample Designation Date Time a Co j CO F" _ = Z 3 (on ¢ 5 5 m ,Cn n m j j ) F F LL 3 d <br /> MW-1 //-W 41 X X XXX X <br /> MW-1DUP />;S 4X X XXX X <br /> MW-1A 4 1XI I X X X X X <br /> MW-2A / 4 X X X X X X <br /> MW-3A 16904 X X XXX X <br /> MW-4A .3D 4 X X #XX <br /> X X X <br /> MW-7S At 4 X X X X X <br /> MW-7D 25a 4 X X X X X <br /> VE-1 '2� 4 X X XXX X <br /> CT-MW-8-87 4 X X X X X X <br /> ITI 1 1# <br /> Relinquished by: Date Time Received by: Remarks: <br /> Relinquished by: Date Tune Received by: <br /> Biil to: PSC Environmental Services,210 West Sand Bank Road,Columbia,IL <br /> Relinquished by: Date Tme Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp°C Initials Date Time Therm.ID# cectaa Preaem <br /> Yes / No <br /> eW tlon: White-Lab;Pink-Originator <br /> Rev. <br /> Rev. 031805. <br />