Laserfiche WebLink
MCa <br /> nmental 3083 Gold Canal Drive rLabs Rancho Cordova 04c SDE 2 FOR <br /> CA 95670 CHAIN OF CUSTODY RECORD 0 5 2 8 7 COMPLETE <br /> Phone 916(852-6600 INSTRUCTIONS <br /> ;. ,rye Fax 9161852-7292 <br /> /"/ L Q' G6 4 f Project Name' FOR LABORATORY USE ONLY AnalCommoa <br /> Ship To: � d �°rf_rJ Name:////-g Vag +"Y� AnafyticeiMetheds <br /> Address. 3O O/� �G� 0 4f O Z�l �Q�r 0 O Laboratory Prole�t# $S l 415 2 tong Method <br /> 3 b Project Number: 'lT 4132 Short Method <br /> Address:-30X3 <br /> Storage Refrigerator ID 4181 Long Method <br /> �+ G rI G 0 o? d L a ` C� Storage Freezer ID 418 1 Short Method <br /> *� Project Locakion: {St te) g 4201 <br /> 502.2 <br /> Sam ler Nam tgn re PPE Wom in Field 503E - <br /> a f -��� �a / - ., a�¢LS - e e� 5242 _ <br /> Rel d /G D e f 0Q �i7 <br /> Received By or I�dethld41�h15tpment I D ` D e 601 r <br /> l602 <br /> / [ — I� Ile soa <br /> -- <br /> Relinquished ByDate/Iune Recei s I D 42 e4aG g p <br /> 624 <br /> Relinquished By DatefFme Received By or Method of Shipment/Shipment I D Date/Tune 625 <br /> 8010 <br /> 8015 <br /> Sample Disposal 6015 Mod <br /> p 6 I ❑2 ❑3 ❑4 ❑s ❑6A ANALYSES REQUESTED >iM <br /> (check one) Level of QC 8 o t <br /> (see Side 2) ❑6B ❑6C ❑6D ❑6E ❑7 Waste in 8080 <br /> Analysts Method 8100 >< <br /> Laboratory Standard 815500 <br /> ❑ outer SAMPLE INFORMATION 88310 <br /> Acidity <br /> Description Container( )s fV Alcaindy <br /> FOR LABORATORY USE ONLY 0 O BTEx <br /> Sample ID Matrix Pres Chloride <br /> Ub ID Number Date Time Locator Depth 0 Type Type Type TAT CCLLPO(see Side 2) - <br /> 3 r-13 3 /r] [i/'� �V f/ f!li /��r r Color i <br /> CartductNity <br /> 2 Cvdy <br /> Cyanide <br /> point <br /> 3 Z Z3 ?— WT C Flu <br /> ooFlriritidee <br /> General Mineral <br /> 4 + <br /> Hex Chromium <br /> Ion Batarice <br /> Melds(write specific <br /> 5 Z metal&method til <br /> 6 ` Z3y Metals 6010' <br /> 7 } Z�' Metals PP <br /> G. Nab� 1.� Metals Title 22 <br /> rn C Level <br /> 8 a z o �V ;�S <br /> Nit <br /> 9 Z L 3 ?-91 W <br /> �`1 G V tr7 ram <br /> Ndrie <br /> .1— Z Z 3 L Z j, �,�k oo a` <br /> 10 Lead <br /> "1' Org Mercury <br /> Special Ins Ctions�COmm n 4 � Z Z 3 Z Percent Moisture <br /> PH <br /> Z 3 2ti � )s f a fe v e ' Container Types A=1 Liter Amber TAT(Analytical Turn Around Time) Percent Sold <br /> T t I � C( G�7 B=Brass Tube Cassette 1=24 hours 2=48 hours <br /> Perchlorate <br /> 10 U/ �' Tis s O U @ Glass Jar P=Polyethylene 3=1 week 4=2 weeks Phosphates <br /> G O--Other V=Voa Vial 6=Other Phosphorus <br /> Suffate <br /> Suedes <br /> S,/l+�Pr��/ LT T (Cheta Tctv <br /> � <br /> FOR LABORATORY USE ONLY Sample Qpdition Upon Receipt. / SEND DOCUMENTATION AND RESULT <br /> .� � on <br /> GkG $ef11 f� <br /> mr;[ ( 7 ProjectManager/Office u Metals <br /> Peshade <br /> ❑ Client Name TDS <br /> Total Hardness <br /> olids <br /> Company / r 1T zz fi TP14FD <br /> TPHrG <br /> Address TSS <br /> Turbidity <br /> phone FAX Specify Total or Dissolved <br />