Laserfiche WebLink
"��ID05-1�',I <br /> FAd <br /> �J)e4 ei y p Analysis Requested(write in the tests) <br /> Attn: �p�7 /(��r�y <br /> ]L Analytical Services <br /> �a 217 Primo Way <br /> �j„ V� <br /> dS. Modesto, CA 95354 <br /> ` Phone(209)538-8111 a <br /> 17h��-k- !2 R� itFAX(209)538-3966 <br /> sample Information: <br /> Lab Use only: Bottle or Container information; <br /> Work Order Number uwt lz;. Sa a Description Sampling Sampling Chlorine Sam <br /> Date Time Level Field pH Tye ttOt Sample Bottle No.of <br /> preservation Biu Bohles <br /> VA" 0S� I�,Z i Check thepriate Box Below Tamp. <br /> Relln uishsd b si nature): -T—---- <br /> Received b si mat <br /> L Date: Time: <br /> ROlin <br /> r= <br /> Receive si natur - <br /> # (! (! Date Time: <br /> �,Z <br /> Key: 11 , <br /> t atrFx DW=f]tirt O y„ .' �rmrd Waw _ww Wit Notes!Special instructions: <br /> Sample Type: D=Distribution W=WeN 0--Other <br /> R+BasAn Jnr A�> ryp: 1L�+RoOfdnrtt S�tglteait �-SrteoieF lir <br /> Sample Preservation. W Cool,<10 deg C,Sodium Thiosulfate(Na2S2p3 <br /> } C cl=6 deg C HNO3:Nitric Acid H2SO .Sulfuric Acid HCI.Hydrochloric Acid OH:Sodium Hydroxide <br /> BtKtk:7y;lttj• Pi+�i?taStiC �c8htit#ta3rJ PMst�t#BRt;4srlsd tea�sfi {� I <br /> the cV"*rlr�t"� <br /> Bottle Size: 40m1(voa) 100m1 125m1 25llml 1qt 1L � ���t400ty,glf�ditOU$fpotstppEpi. <br /> I <br /> middesklDatalfront office/chain of custodies/ELAP coc.xls <br />