Laserfiche WebLink
1885 N KELLY ROAD NAPA,CA 9455 07)258-4000 FAX(707)226-1001 PAGE OF CrJ <br /> Capes( SAMPLE CHAIN OF CUSTODY <br /> PROJ):CT NAME 7 PROJECT NUMBER POI LABORDERI <br /> AIiA1L7txiE:�i IABD1eY]ItY 0120220 £120220 <br /> CLIENT REPORTTO {circle one] <br /> Caltest Analytical Laboratory Chariya Heang ANALYSED REQUESTED <br /> MAILNG ADDRESSLCA <br /> E QIP <br /> 1885 N Kelly Road 94558 <br /> TURN ARouNo TIME <br /> BILUNG ADDRESS. ATTN <br /> Same Some EI6TANDARD <br /> z <br /> PHON I• FAX PHONE. SAMPLER{PRINT @ SIGN NAME) F <br /> 707125s-4000 7071226-1001 ]RUSH <br /> TD DUE DATE <br /> rc �r25 <br /> CALTEST DATE TIME SAMPt£ CONTAINER b <br /> LAB I SAMPLED SAMPLED MATRI%� TYPEr PRESERVATIVE SAMPLE IDENTIFICATION/SITE REMARKS 5 <br /> AMOUNN <br /> 12 05 02 1438 FE MBEERR NONE FLAG CITY CHEV EFF X Please Include P 0 NUMBER, <br /> LIT <br /> PROJECT NUMBER,and SAMPLE <br /> IDISITE on REPORT and INVOICE <br /> *Please RETURN COOLER <br /> U <br /> PLEASE FLAG DOWN TO MDL AND <br /> Y <br /> INCLUDE MDL AND RL ON REPOR l< <br /> 0 <br /> RELINQUISHED BY DATElTIME RECEIVED BY r RE. WASHED BY DATEITIME RECEIVED BY <br /> gemple$ WC MICRO BIG AA SV VOA PH? YiN TEMP EALED YJK I01Act YM 'MATRIX AQ=Aqueous NOndrminng Water <br /> Digested Metals,FE-Low R Ls Aqueous <br /> 9A B)p We AA COMMENTS S„MI cgrtTlt4cT FtA NonWater <br /> n Water Digested Metals OW. <br /> Drinking SL=Soil Sludge Solid,FP r <br /> "CONTAINER TYPES AL-AmberLAer,AHL= <br /> w W AA SV VGA &T- SOO ml,Amber PT.Pint(Plastic) QT-Quart <br /> (Plastic),HG-Half Gallon(Plasuc) SJ-Sall Jar <br /> �5J BIL NP PT ^^ OT VOA 5755 Ob 611'"t fast 84-4o?-BACT 9T-grass Tuba VOA-40m1- <br /> a VOA OTC Other Type Container <br /> wmtyo, H390, �.ot1 To;am ,Washin9191s 44424 <br /> pIL, I/JD0 MSO, NeflH HCL PH(253)922 231►} tT PR M F <br />