Laserfiche WebLink
mM M M M M M& M <br /> WfArl;V�'1'O�ES Analyse equest <br /> 9812000472 BSK G Chain of Custody <br /> 1414 Stanislaus Street Fresno, CA 93706-1623 Requested Analyses <br /> (209) 497-2888, 800 877-8310 (209) FAX 485-6935 <br /> Client Name Report Artention Phone r <br /> SC <br /> Address Project Quote or PO r FAX <br /> ezr- v gL&20.) <br /> City State zip Copy to, System r <br /> i <br /> i <br /> IiApi use 4nlyr Sampled by�d w Comment or <br /> Date Time , <br /> Nmpje igpr t Sampled Sampled Sample Descrtptton/Locatton Station Code <br /> .1.L"$r-1 S r30 M 11►f UXX q t <br /> 6"1 ca5 <br /> lo <br /> 4 <br /> c S — <br /> k, .6 <br /> aF <br /> 5 <br /> r <br /> 1 -' i' 2� *k L <br /> r <br /> Matrix Type L U;tii So G Gas Additional Services A iuonal Servi s oriz Payment Receiived with Delivery <br /> Type of Hazards Assoc SamplesRush Priority L 1 2 Day [] 5 Day s DAtt~��.- <br /> QC Data packagel ail� lll or W(circle one) <br /> [1 Formai of Custody Check <br /> Itgeeipt <br /> Signature Print Name Company --Date` µ �- Time <br /> /Re hed by, r <br /> by <br /> z ���� I d <br /> Received/ReRtty'aished <br /> an W- t7 <br /> NGtide Payment for seances riders as noted herein are due in full M- in 30 days fro wh invoiced If not so paid account balances are deemed del�ngvent Delinquent balances are subject to monthly se icelre hi ling charges and interest cal <br /> culated at 1 t/2%per month i8°k per annum BSK&Associates shall be enhtled to reoov dolinquent accounts costs of collections including attorneys fees incurred pnor to or in litigation whether concluded by judgment settlement compromise <br /> or otherwise The person signing for the Ckent/Company expressly acknowledges that they are either the Client or authorized agent of the Client <br />