Laserfiche WebLink
CHAIN OF CUSTODY CLS ID, NO.�- <br /> Report Ta Client Job Numt)er -- <br /> ANALYSIS REQUESTED GEOTRACKER- <br /> AcTenviro Destination Laboratory <br /> EbF REPORT ❑ YES ❑ N <br /> A Wayne Ct Socromen(otA 95829 #9 <br /> IT <br /> CAIIfORWA LAGONATO"SMJUS GLOBAL ID. <br /> Project Manager .»,,., Y.InnN��i1.�Li.`._ -0 <br /> Jeff Freitas jfreRcis,4.Dctenv ro.rgm mil <br /> Project Norr e Tower Pork Mo6no Resort ❑ ('LS (916) 638-7341 m i FIELD`:CONOITIONS: <br /> 3244 Fitzgeraid Raod a <br /> Sampled By Randy Cordova,GA <br /> Jeff Freitas 95742 m <br /> Job Descnption I cn <br /> Treated Woad Wasle TWW� e %N�',ir.c:�lifc�rnialab.ct?m <br /> ❑ OTHER .b M <br /> Site Location 1490?W Highway 13 Lodi CA 45242 ___ ___ O rn <br /> ao TURNAROUND <br /> n TIME IN DAYS SPECIAL INSTRUCTIONS <br /> DATE TIME SAMPLE J FIELD CONTAINER 2 3 5 <br /> IDENTIFICATION ID. MAllPqX NO. TYPE <br /> i <br /> INVOICE T,0.- <br /> jfreitosa-actenviro.com <br /> P045021-0185 <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENT-ION TIME PRESERVATIVES III Hct i31=COLD <br /> HNOs d 112SO4 <br /> �E NQUISHED By (Signature) PRINT NAME/COMPANY DATE/TIME R LVE BY icpnat e} PRINT NAME/COMPANY <br /> Jefffreitas I ACT86vtr0 <br /> 7 r <br /> KOM A�;�6 BY: DATE/TIME"J CONDI NS/COMMENTS: 'S Z. <br /> SHIPPED BY: <br /> 0 FED EX 0 UPS 0OTHER ____ _ AIR Blil# <br />