Laserfiche WebLink
PanLabs (Environmental Chemistry Analysis) <br /> 3290 Avenue 10 • Madera, California 93638 ADivision of <br /> (209) 675-0889 • (800) 846-0008 • FAX (209) 675-0884 Laboratories,Inc. <br /> 7204 E.ABC lana,Columbla,MO $52112 <br /> Tel: 3141474-8579 I= 3141443-9433 <br /> CHAIN-OF-CUS'T'ODY FORM '0W ; V` <br /> RUSH]OB154� CUSTOMER INFORMATION REPORT INFORMATION REQUESTED ANALYSUS <br /> AUCII°an-As lads lob ,nSlamer Name:/ J Report Altentlon: - <br /> Q <br /> Address; A )'o 3 J7 . 6. Pra'ect,P.O,#: &2 —// <br /> • <br /> d)aLe Entered on LIMS: City,Slate,Zip: Project Name:.,, s¢ L W O <br /> 00112�� 'hone; �o y y}// OC� Project Manager: ,/ /, a a . H <br /> �ax#: Co Ta: <br /> t7 A , IQ <br /> ' <br /> Lab Sample I.D.X Date Time Sampler: SampteType x V <br /> \ f 9na.i L,q.A No,of r '4 <br /> Sampled Sampled Client Sample Descri tion Location/Depth 0-o.n., Containers U <br /> i7 S'- i� 3 . s51 <br /> kV <br /> Q0 3 ? Sm-i see x x <br /> S - s(13 ef Id s tQ�_4�:_ _? .2- � <br /> - - <br /> l'urnaroundTime: Comments: ARE SAMPLES: PRESERVATIVE: <br /> Standard Turnaround �- J /. .f N. / �"- -Z /T� 4 ItJa. 2 r- �- T.„ TOXIC? NAOH 0 <br /> (10 Working Days) e. FLAMMABLE? HZS04 <br /> (�ll'II2�I'Sanlples-S Duys) EXPLOSIVE? ItN�D3 <br /> — Rush 5 Day 'P/ d �.Z HIGHLEVELS? IICI <br /> ` I ry •../pVT� ` p ,rr.��.�.QtPta�. <br /> Rush 3 Day /1,/e• 2 ni/ 3_/',pie.«r poor-;,- —. ASCORBIC ACID <br /> Rush2Day 4 u zuaz=_aQi,L�c��T,�_ FORRCAM METALS: <br /> — (tush 1 Day yp /�_e 1 Y �i r r�ram f E ^` Y��*( W O STLC 0 TTLC <br /> L-R-2 <br /> -n- <br /> Signaluic Bate [� <br /> � Time Printed <br /> .,/Na/m' f_e Company Na <br /> om aanyNa <br /> me <br /> iiclinquishcdBy �� ' � pm <br /> ie a vcd -__ a /211-j 0 <br /> > <br /> .vhf vY�N[ /'•��~�C <br /> t <br /> Relinquished By: am pm <br /> lteccived By: am pm <br /> itcccivcd for Laboratory By: - am pa'!. . <br /> Pl-FASI:CALLT]iW NUMBERS LISTED ABOVE FOR COMMENTS,QUESTIONS,AND QUOTATIONS. THANK YOU FOR YOUR CONTINUED PATRONAGE. <br />