Laserfiche WebLink
Corporate Laboratory (1551) <br />208 Mason Street, Ukiah CA 95482 <br />707 468.0401 (phone) <br />707468.5267 (fax) <br />clientservicesnalphe-labecom <br />North Bay Laboratory (2303) <br />737 Southpoint Blvd, Petaluma CA 949524 <br />Bay Area Laboratory (272E1) <br />262 Rickenbacker Circle, Livermore CA 94551 <br />Central Valley Laboratory (2922) <br />9090 Union Park Way 0113, Elk Grove CA 95624 <br />San Diego Laboratory (3055) <br />2722 Loker Ave West, Ste A, Carlsbad CA 92010 <br />Chain of Custody - Work Order <br />Reports and Invoices delivered by email In PDF format <br />Lab. t 9 E <br />Nphatelf211 L.4;l a —AavOynct4 bowai. Inc <br />VAWAalpha-iabl.001E1 <br />WATERS, SEDIPARPETS, SOUDS <br />Pg of <br />Report to EDC (OTO) Client Info: Project Information I_ Signature below authorizes work under terms slated on reverse side. <br />Company: <br />Environmental.com LLC <br />Company: <br />Lorinas Edible Garden <br />Project ID: <br />Water Quality 5 Day Total Number of Containers per Sample ID Analysis Request TAT <br />—, <br />TEMP *C <br />Alin: Point of Contact: 18a1 PA ,Nitrate as N Standard Ukiah <br />Darrell Martin Lorina Project No: 6 days <br />Addreer Address: <br />0 Z •0 <br />2603 Patterson Road, Suite #9 17397 Enterprise Rd. Escalon. CA Livermore <br />Riverbank CA 95367 PO Number: RUSH: <br />Phone/Fax: Cell phone number 3 days 1 ' 6 <br />209-869-9260 209-402-7567 0 Elk Grove Email Address: <br />lab@environmental.com lorinasediblegardenAgmail.con <br />48 hours <br />0 <br />Field Sampler - Printed Name & Signature: Container & Matrix Other. Petaluma <br />Purveyor IStenle bacti Unpreserved Preserved IWastewater [Dnnking Water I _days <br />a <br />Preapproval <br />Carlsbad <br />Sampling ',I Fl '.7, required Sample Identification Date Time CT- C.0 co <br />-..s <br />0 Notes) DOW Source Codes <br />Well 6/20/24 1220 x x x x x 1 x x <br />Paid $100_00 <br />_ <br />_ <br />_ <br />Relinquished by Received by Date Time DDW Write On EDT Transmission? 0 Yes 0 No <br />- (.E1244 AC-a) State System Number: <br />frit/A1 1)( 1 7- <br />L.._ If "Y" please enter the Source Number(s) in the column above <br />(deo ,t 2 - I ? CA Geotracker EDF Report? 0 Yes 0 No <br />Global ID. Sampling Company Log Code <br />EDF to (Email Address). <br />Travel and Ode Tine rIleaga• 'Misc. Supoes.