Laserfiche WebLink
~E61U01 ANALYTICAL ❑ 680 Ch �°~�eake Drive- Redwood City, CA 940631- (415)364-9600 FAX(41 '�'i64-9233 <br /> !• ❑ 819 W _ ;Sriker Ave.•Sacramento, CA 95834 • (916) 921-9600 FAX (9 ,i21-0104 <br /> (aCHAIN OF CUSTODY ❑ 1900 Bates Ave:, Suite LM - Concord, CA 94520-(510) 686-9600 FAX (510)686-9689 <br /> T' <br /> Company Name: Project Name: <br /> Address: d ( Billing Address ( if different): <br /> CRY: (r -.�..,i State: Zip Code: <br /> c <br /> ' <br /> Telephone: � �3 �/ FAX P.O.#: <br /> Re rt To: Sam ler: QC Data:`ULevel A(standard) ❑ Level B ❑ Level C ❑ Level D U <br /> Turnaround�0 Working Days ❑ 3 Working Days ❑ 2-8 Hours ❑ Drinking Water Anal ses R uested a <br /> Time. ❑ 7 Working Days ❑ 2 Working Days ❑ Waste Water <br /> J. <br /> ❑ 5 WorkingDays Y U'24 Hours ❑ Other C, <br /> Client Datelriime Matrix #of, Cant. Sequoia's �C <br /> Sample I.D. Sampled Desc. Cont. Type .Sample# Comments <br /> ca <br /> 3:'• o <br /> 4. } <br /> : .' <br /> 5. :. <br /> 6 <br /> 7 r.. ' <br /> .......-:: ............ .. .., - : .:: <br /> :.i' :--.: ... :: <br /> IX <br /> 8. <br /> 1 <br /> Relinquished By: { Date:(Z Time/' �a Received By. Date1z Time': /830 <br /> Relinquished B : Date-Z f'TimeJD Received B . Date: Time: <br /> Reli uished Date: Time: ReceivedB Lab: Date. ` ime:�3 ' <br /> 4 <br /> Were Samples Received in Good Condition?J$Yes❑ No Samples on Ice? , Yes U No Method'61 ShipmentSr a,V0 14 Page!of <br />