Laserfiche WebLink
CALIFORNIA <br /> LABORATORY ��.�'C <br /> ClS <br /> .SLRlRVIVI""-S CHAIN OF CUSTODY CLS ID No.; 22c LA% LOG NO 221626 <br /> REPORT TO: CUENT,IOB NUMBER ANALYSIS REQUESTED GEOTRACNER: <br /> NAWI me AWN" EDF REPORT O YES O NO <br /> GLOBAL ID: <br /> � ,„� DESTINATION LABORATORY P <br /> CLS(916)638-7301 COPH WRITE ON EDT TRANSMISSION? 0 YES O NO $ <br /> w _ STATE SYSTEM NUMBER F <br /> GERALD RD <br /> pq RANCHO ORDOVA.CA. (j) IF"YES"PLEASE ENTER THE SOURCE NUMBER(S). <br /> V 95742 ((1 y <br /> Z PROJE <br /> F- <br /> ❑ < COMPOSITE: <br /> d OTHER A- <br /> W <br /> - <br /> =( <br /> L) <br /> m TURN AROUND TIME SPEC"INSTRUCTIONS <br /> U N g <br /> o s3.1a3'S 012. i� 3 OR <br /> ~ DATE'TIME PLE CONTAINER _c 01- <br /> 6c <br /> 0 0 0 <br /> Ix - - - IDENTIFICATION MATRIX NO. TYPE W+ ALT. ID: n <br /> Q — -- <br /> Ir <br /> a Ca <br /> 2 t�}u� k <br /> o s 140 '� S 10Z� 2-�- 5 _ X x <br /> o � <br /> t 1 o wtk l 's \-2 � x �C <br /> LL s 135 fo412=L 5 X X <br /> w <br /> m <br /> j 1 t 1315 �ImnuBw t31Q1 -L S fs X X <br /> 524 132D Y�is 2-Z S G <br /> a � <br /> UU IS 1S'•Is ► *► alb S G x X x x <br /> P.O.I = <br /> Q s 15'•3p S XXX a>�I � <br /> o <br /> w <br /> I- PRE9ERYATIVFB (1)HOL (A-can W-HAG. I71- <br /> Email/Address .COrY1 MHNO. IH-NION In- <br /> J HEUNOUI D 8Y(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRIM NAME/COMPANY <br /> o _ <br /> IWOAT SI 9ATI `y Dow—100 All m; <br /> ZV <br /> SHIPPED W. ❑ FED X ❑ UPS ❑ OTHER AIR BILL• <br />