Laserfiche WebLink
Caiifoinia Laratory Services CHAIN OF CUSTODY * CLS ID No LOG NO 2* 49 <br /> • - CLIENT JOB NUMBER FIELd CONDITIONS <br /> ADDRESS10-� ` �Q L Q?• oa <br /> x/11 DESTINATION LABORATORY <br /> M p <br /> 54polp4e.. <br /> le-CLS LS (916) 638-7301 07 <br /> p <br /> C <br /> PROJECT MA ER 1� PHDNE# COMPOSITE <br /> rK 3249 FITZGERALD RD m D RANCHO CQRDQVA 95 fJ <br /> PROJECT"Am" <br /> vl bCA' -�d1�g 1v 95742 <br /> SAMPLLD BY - ❑ OTHER C <br /> m <br /> JOB DESGRIPTkON (n <br /> 'K TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITL LOCATION w <br /> SAMPLE <br /> DATE TIME CONTAINER '.n p cv p "'p o p <br /> IDENTIFICATIONNQ TYPE Jsr <br /> ✓ ✓ f/• <br /> %I I1 V r Y N <br /> ol It <br /> at ri ItHwf 1/ Y ✓ <br /> S It I! to t/ ✓ <br /> ✓ <br /> I L` r <br /> ,! yt V ✓ INVOICE TO <br /> �! ♦ r r <br /> 5 tr ' I r r ✓ <br /> hW-!t It t! -- <br /> PO 0 <br /> QUOTE N <br /> P �� SAMPLE RETENTION TWE PRESERVATIVES (1) HCL COLD <br /> T <br /> 1 ,�' IT (2) HNO3 (4) <br /> RELINOUISHED BY(SIGN) PRINT NAME I COMPANY DATE I TIME RECEIVEDCOMPANY <br /> t;I i (Go <br /> f <br /> R['t U nl I ali By, �i � A'� J DATE 1 TIME '� ����� CONDITIONS!COMMENTS <br /> LI <br /> SItII'I'LD VIA�f PED X Ej UPS OTHER to �Q iCl \0-,-( AIR BILL # <br />