Laserfiche WebLink
i v ary v� an H y 4 <br /> , 9 • - . uo�(9 19 AX 92 <br /> S6QUOIA ANALYTICAL 98 • <br /> i <br /> (925) 9138-9600 FAX (925) 988-9673 <br /> 9 <br /> CHAIN 4F CUSTODY Ell 1551 Industr alll Road -San Carlton CA 94070 a(6 0) 232 9600 FAX (650) 232-9612 07) 792-0342 <br /> Blvd CA 94954 * (707) 792-1865 <br /> C p n ame err SSO f."' _ �[q.,ept Name 1ac t (' <br /> A. <br /> Mailing Address 111"7infley Billing Address (if different) <br /> City Q3 Aie State Zip Code <br /> Telephone - C) <br /> 22 2 FAX # PO # 0 <br /> - a' <br /> Report To n I(� Sampler r ,- QC Data evel D (Standard) ❑ Level C Cl Level B ❑ Level A U <br /> Turnaround ;.10 Working Days ❑3 Working Days ❑2 -S Hours 0 Drinking Water `' Analyses Requested <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water Vl <br /> ❑ 5 Working Days ❑24 Hours ❑Other <br /> Client Date/Time Matrix # of Cont Sequoia's � air Comments <br /> Sample I D Sampled Desc Cont Type Sample # a, <br /> 1 � s tir�t (Al"Vf +/ a � rh� <br /> yet o��yae+ 5 Cr <br /> 2 <br /> 0 <br /> `•r <br /> ji4I Be,E T rat,-7`1 <br /> 3 atYE ? M o <br /> !,-z N—A r <br /> 4 ' <br /> 5 <br /> ��,, ease r <br /> 6 6 AT "e <br /> 7 4 <br /> Cr <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By Date 1213D f Time Received By Date Time <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? ❑Yes ❑No Samples on Ice? ❑Yes 4YNo Method of Shipment Page-.of _ _ <br />