Laserfiche WebLink
la `l'j(Rtilll d"+st Y'' iSa:.S!:iilSt�ii�4„aP1;4i:<'si!Ott:znrr(r,p'es,.`:`.'It:';:"�q li.y:.,,;,�tm,.,�:�l li.a:;ls: •�.y,u➢,�,,::y,.;:,.: _— —.. - <br /> NE <br /> 2795 2nd Street Suite 30 Ytt rrtl ��i7}SrCftlt}{11i"6tll t:'zYjilt'{j"{<j,;r�f 1 to{E{S t�10 i i Sl iylt!{µit7yiil44Q f Sl�tl iIt}(t9/ Z hF(i <br /> KIFF Q i[i4 S^45i"P i. , � rB lli�l' t �i�3 trf tttl fl'ljltlt r1}�f tl4{tc��75k1}tlil;tS�titl{If+i1 X4511�l Ali <br /> Davis,CA 95618 h 13 1lSt ft4� :�. 1i �f <br /> Lab: 530.297.4800 tif�lt;� SRG#/Lab No g <br /> Analytical LLC Fax: 530.297.4802 rtes°th _-.,<,�Ita �tr; Pae _I of <br /> Project Contact(Hardcopy or PDF To): California EDF Report'? (]Yes <br /> ❑No Chain-of-Custody Record and Analysis Request <br /> Company l Ad/dr=ess. .Ar rr !' <f' Sampling Company Log Code: Analysis Request TAT <br /> � CIRCLE METHOp ❑ <br /> Phone Number.c'7 �!. , , Global ID: 12 hr <br /> r7 S <br /> 0 <br /> Fax Number::_:� EDF Deliverable To(Email Address): n <br /> N m ElProject#: P.O.#: Bill to: m W ° 24 hr <br /> co <br /> F:...�....Ce`•.. v Q w o <br /> Project Name: Sampler Print Name, w o ui _ o � o a <br /> v ams wif,: �-S, `% w' e }} ate. m w w <br /> , _ f...� �If #i /5 . �a rte'-s3 ..» m Q o o <br /> �t rq;� <br /> Sampler Signature: l m w N a 48hr <br /> `. P 9 6' v m = w o w N r N <br /> A) Y^R•-? vJr�"[!'=".P�-"; -�...•r^'x..�.,.y.�-.......... co <br /> LL 11 N 47 co O Z _ <br /> N Q Cl- -f 0[5 LL1 'J Q (D Q N ti ❑ <br /> ProectAddress:o.�,tdi-.:w Sam Gn Container Preservative Matrix a <br /> Project q o o > Q C Lu a Q C? o <br /> s ✓s'_'.�.-; �On _ W- cD x C) cLL <br /> w Q w rL o C) <br /> m n w -0 v, W — W N 1-�- <br /> r' a N p Q 72hr <br /> n m a a v m a ° Q w <br /> p o a w u m > o m ar o 5 w a <br /> > m c z O O a <br /> j X o. a Sn a> ar mEf <br /> C:) °—° Q —° U o co o m rw a o o ° o = = s B w 1 wk <br /> Sample Desi nation Date Tirne v cn d c� I— T = z cn Q m �, °; > > >° z <br /> Relinquished by; ! Date Time Received by: Remarks: 9A ^..3& fl �,�7 r r d,?, <br /> i' rzyud�r r ?s.r�:...a». u•z 4.... sJrtf' ry. <br /> Relinquished by: Date Time Received by: 4dt151 lgl�il 1101'R'111 <br /> a� <br /> .n•-b �.... ..•.,_,,.w» .� L51�tl�k)7}S)107, ��-r�'t SQ )) t ;f <br /> ? {!°s'�1'11{tf145;kSrtYis}���sslj fi '�f <br /> Relinquished by: y Date Time Received b LabOPatory: r , \cs'�iflii1s '4�f1(ff�t} �i<<t tttf 1- <br /> ...,....,...... i44i L, �f✓J ! t.�""'�.. l s� �4,}t}}i�r��c 1\Sir! y;}t/yr t�\Sf;s. <br /> 7 <br /> yI 9 <br /> .-... ��._ ����. t 6-, '�.>; ��`a_ � �p�� ��'"" .`� Z � 7,{t ;s��t,,,.�43ti t�•�x�� l',tfs+)If,>f;,i�4,a ffr'ti,�Sfi�itnt�lt±l, <br /> #.'f`� >. <br /> Distribution: White-Lab;Pink-Originator t <br /> Rev: 06NO0 t xsiSl�ti h`^ r tn(d1}}� r tt} t,�4 gTiL :��li{�f R��'lt 4i4n•is il�'... ,drs +,lif Sii <br /> t }.lr 111:II�VS,)}j$}}tt�444�,W <br />