Laserfiche WebLink
mmmmmmmmm mmmmmmm4rm <br /> ❑ 885 Jarvis Dr Morgan Hill, CA 95037 + (408)776-9600 • FAX (408) 782-630 <br /> E UOIA ANALYTICAL ❑ 1455 McDo re Ivd, Suite D + Petaluma, CA 94954+ (707)792-1865 + FAX (707) 792-0342 <br /> Q ❑ 819 Striker Ave , Suite 8 + Sacramento, CA 95834+ (916) 921-9600 + FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 1551 Industrial Road • San Carlos, CA 94070 + (650)232-9600 • FAX (650) 232-9612 <br /> ❑ 404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 <br /> Company Name 20 — L-74 cD�/ ol— A-7 S Pra�ect <br /> Mailing Address ? Z/ Pv1Z j E1eF1 L 1-- C- 7-- Billing Address (if different) <br /> City 417- V J L—' W State ,¢ Zip Code o VIS <br /> Telephone e—d ,g a Fax# L6 P 0 # <br /> Report To O%CUVe _ E-mail Address QC Data ❑ Level II (standard) ❑ L I IV <br /> Sampler C Date/Time Results Required Sequoia's Work Order# 1 L 00 <br /> Turnaround )< 10-15 Working Days ❑ 72 Hours MANDATORY ANALYSES REQUES 103 method <br /> Time (Standard TAT) ❑ 48 Hours ❑ SDWA(drinking Water) <br /> ❑ 7 Working Days ❑ 24 Hours ❑ CWA(Waste Water) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA(Hazardo e <br /> Q Other <br /> Client Date 1 Time Matrix #of Con is s Q � Commentsl <br /> Sam ie I D Sampled Desc Cont Sample # i t' Temp(If required) <br /> 1 /l'I 1>II 1 1 31 v z lvt?i s 7 Am7 '� <br /> 2 �� I 3I0 11W'47�' o� v ,/ J <br /> 3 -"" 1 14 2 bw ted d� V <br /> 4 Mr <br /> 5 <br /> 6 <br /> 7 <br /> I <br /> 8 <br /> 9 <br /> 10 <br /> Relinquished By � Date /Time i <br /> 131102 <br /> Relinquished By Receive Date/Time -,,I16 <br /> — <br /> Rlefinquished By Received By Date/Time / <br /> elmquished By Received By Date I Time <br /> re Samples Received in Good Conditions Yes 0 No Samples on Ices es ❑ No Method of Shipme Page <br /> White Sequoia Yellow Sequoia Pink Client <br />