Laserfiche WebLink
C' o +55 <br /> North State Environmental Analytical Laboratory Chain of Custody/Request for Analysis <br /> 90 South Spruce Avenue, Suite W, South San Francisco, CA 94080 Lab Job No.: Page"Jof ! <br /> Phone: (650) 266-4563 Fax: (650) 266-4560 <br /> Client: [a,.r /„�vG` J- 0-1t)Su:.c- , 2,-u . Report to: 0-10l Phone: 17,2 _Y26 _s-3y'S Turnaround Time <br /> Mailing Address: Billing to: Fax: 5�» <br /> 7,02D ko6/ plr;w y sh,,� PO#I Billing Reference: Date: J7-17- ao <br /> sem. /.3i1 <br /> %e.a5.4u C-4 1�SWr� 1 /JS ~ 3 Sampler:Ila. k <br /> Project/Site Address: Analysis <br /> Requested <br /> ii9L E- u: c C4,q-_,kc4 <br /> Sample ID Sample Container Pres. Sampling C9 Comments 1 Hazards <br /> Type No. /Type Date/Time <br /> - 2 <br /> w.+k, IV6 A UcL ?17 o /B:oo <br /> w- 3 ,4 7 oo ie, 'YD <br /> i <br /> p <br /> Relinquished by: Date: 2t7166 Time: a;Y' Received by: Lab Comments <br /> Relinquished by: Date: Time: Received by: <br /> Relinquished by: Date: Time: Received by: <br /> i <br />