Laserfiche WebLink
t:orpmate 1.aooratory(1651) Bay Area Laboratory(2728) f+ <br /> 208 Mphon Sfreo> Ukiah CA 95462 282 Rickeribacker.Circie,Livermore CA 84$51 Chain,of G:ustodY — Work Order <br /> .707.468.0401(phone) <br /> 7071488.8267(fax) Cen"Ia Valley Laboratory(2922) .Reporis-and Invoi'ees ollvered by email.WP�F form <br /> ?14rMi,ti ha-has i:om l"` dientservi es@alpfia-labs.com .0090 Union-Ped<Way0113,-Elk Grove CA 95824- ' <br /> �.vriiliy%alp}ia-latus.ctim <br /> at <br /> WAWARs,SE01MEMS,SOLIDS North Bay Laboratory(2303) Sen Diega Leboratory13055) -Z a �� <br /> 1.1o,Llberty'S rreet,PetWiuma(CA 94952 27221 okerAve Wast,.Ste A,-Carlsbad CA 920110 Lab No P9. of <br /> Repotit to InvoiceU(it different) ProjecYlriformatlart Signaturie,beloW'aulhoi-Signature work iihder Cerins stafed'ori•ieverse:9ide: <br /> Company: contact: PwjoctM: _ <br /> S)Iffft Df-M(And .Analys(s:RkOest TAT TEMP°C <br /> Email address: <br /> pa, Stnrid5rd Ukiah <br /> Project No: 10.da <br /> Addross: Address: — — -, — — —- �s <br /> _ <br /> a u/ C gS2.Z0CL 1 Livermore <br /> PhoncrF.■: PhonclFaxPO Number. RUSH:: tD <br /> q X023`t�21 e days <br /> Emall Address: O <br /> WeGtd �0 �f ro M O FIk Grove <br /> I l� Ili � � 48 hours <br /> Field sampler-Printed Name 8r Signature: Container Prosoryative O <br /> Metrix o Other. Petaluma <br /> _day <br /> Q m E c m Carlsbad <br /> y v ;Z U b Preapproval <br /> Sample Identification Sampling E o N t N m a a Z roqulrod <br /> Date, time v a c9 v> O. 2 i z O z o �. ren O H v U Notes:!DDW'Sourco Codes <br /> "1t�25 p�E�iz°r 1124 ?Izl� 2.40 x x x , x <br /> Acorn , -CA gs22-0 x x x x <br /> Rellnquishod by Roceived by Date Time, DDW WOWOn.EDT Transmiss(Dn1 Q Yes Q No <br /> L-2--z3 :15'35 State System Number. <br /> -if"Y"please enter the Source Ndm'ber(s)In the column above <br /> CA Geotracker EDF'Repart? Q Yes -Q,,No <br /> G2oee1'ID S.ampMg..Gampany Lo <br /> 9 Cdde: <br /> EDF fo:(EmaSAdd[Bsg): <br /> revel endtiue Time: Milna2e, Mise.S.upphss: <br />