Laserfiche WebLink
Enseeo Page or <br /> CHAIN-OF-CUSTODY RE.C, RD <br /> �.;�ts Date hipped Carrier <br /> Cooler No. <br /> SHIP TO: SEND RESULTS Tn7- <br /> Enseco-Cal Lab came x.m. IC1 r v fe s Ew c r-r <br /> 2544 Industrial Blvd. Company <br /> West Sacramento,CA 95691 waareasN4-W�-S i <br /> (916)372-1393 Av! C <br /> ATTENTION• Phone- (C 1C 1 n r - /�r / <br /> PROJECT NAME PROJECT NO,!6J-.�fl� -�O P.O.NO. �1G <br /> R ishe �y. Si nat re) Received by: (Signature) Date Time <br /> R*iidcfuis-hcd by: (Signature) Receiyed by: (Signature) Date Time <br /> Relinquished by: (Signature) Reeeiv t lab by: (S' nature) Dikte Time <br /> Relinquished from lab by: (Signature) a fv Q%b : ?9rgnature) Date Time <br /> ANALYSIS REQUEST <br /> Sample ID Sample Date/Time Sample Condition <br /> Number Description Sampled Analysis Requested Upon Receipt <br /> 2��SCo9 f�ress��P l 9-.2�-gS' —Tpj! EYt 6C-F)e4 0 <br /> on <br /> Owl <br /> Special Instructions/Comments: <br /> NOTE: UNUSED PORTIONS OF NON-AOUEOUS SAMPLES WILL BE RETURNED TO CLIENT_ <br /> Expected <br /> Analytical Immediate <br /> T.A.T's: Attention (t00% surcharge) RUSH (so-l00% earehar") zstandard <br /> Cal Lab ID Number: (for lab use only) <br /> / /25 //19 Client Retains White Copy Only (R.erWd 1/3 <br />