Laserfiche WebLink
Davis.95 2nd Street,Suite 300 <br /> KI FF vCA 95618 <br /> Analytical LLC C Lab: 530.297.4800 SRG#I Lab No. 2 Page _ of <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑Yes ❑+ No <br /> Chain-of-Custody Record and Analysis Request <br /> Matt Cohen <br /> Company/Address: Sampling Company Log Code: Analysis Request TAT <br /> 3050 Industrial Blvd,West Sacramento, 95691 PLEASE CIRCLE EJ <br /> Number: Global ID: METHOD <br /> m 12 hr <br /> (916)372-1434 _ <br /> Fax Number: EDF Deliverable To(Email Address). a $ <br /> 916 372-2565 ❑ r <br /> Project#: P.O.#: Bill to: `m a d I 24 hr p <br /> 9041.01P Wallace Kuhl &Associates <br /> W a m on a a <br /> Project Name: Sampler P'nt Name: < p m _ -� g E <br /> City of Manteca UST Removal Don Upodgraff m m o 0 <br /> on a pc H n 48h❑ r <br /> Sam p S' m w = W m w v r a o <br /> O O LL <br /> `vi VNJ r � Z n t0 w <br /> d O O T <br /> Project Address: SamplingContainer Preservative Matrix w ° ,, a W s a a w ¢ S 8 u $gg o ❑ <br /> 320 Center Street c o m m ° o a W u — w r d R m 72hr <br /> Manteca,California a m a -L; <br /> ° A = ¢ <br /> G o ¢ w m m _' m m m o m w o a <br /> O d m n . i 0 6 0 2 0 J m 'c <br /> > U '!r a yr m 2' c ❑ <br /> c y wm x C7 E o La <br /> o Z o m w a o O 'm o 0 o a a a 3 0 1 Wk <br /> Sample Designation Date Time v in a CJ r 2 x z 3 rR ¢ 2 a r > > > r r u <br /> S-1.Sr 3/4/2011 (1�//s� x x x x x x x x x x x 48 hr 'J <br /> S-2 3!4/2011 �( (/� x x x x x x x x x x x 48 hr <br /> S-3 3/4/2011 tf L< x x x x x x x x x x x 48 hr Q3 <br /> Y- S fl< ��N/t! mo X X X X <br /> Relin ished y Date Time Received by Remarks: <br /> �l`4�f rho <br /> ImQuishetl by: Date Time Received by: <br /> N <br /> lmduishea by Date Time Receiv by L/}bor ory'. 1 For Lab Use Only: Sample Receipt <br /> Daie, <br /> , I I l� / Temp Initials Date Time Them ID# cw.m r e em <br /> WI S �nQ '� I Yes / W <br /> DistributionWhine Lab:Pink-Orgliaer <br /> Rev: 0e07n8 <br />