|
1$$5 N KELLY ROAD • NAPA,CA 9455$ • (707) 4000 Fax (707) 226.1001 • www caltestlab coin
<br /> 010to S t SAMPLE CHAIN PAGE I of x POM
<br /> ANALYTICAL LABORATORY OF CUSTODY PROJECT#1 PROJECT NAME—r- —]p p
<br /> CLIENT / REPORTTO ANALYSES REQUESTED
<br /> � � J lit£4.X'✓ 1 `} '�£ ���1 as �. !i31 ''--'�' b - , e' �T�` .�
<br /> ADDRESS CITY STATE ZIP TURN-AROUND
<br /> TIME
<br /> BILLING ADDRESS ❑ STANDARD w
<br /> ❑ RUSH ¢
<br /> PHONE# FAX PHONE SAMPLER(PRINT&SIGN NAME) DUE DATE
<br /> U
<br /> a
<br /> CALTEST DATE TIME CONTAINER COMP
<br /> # SAMPLED SAMPLED MATRIX AMOUNT/TYPE PRESERVATIVE SAMPLE IDENTIFICATION SITE LAB# GRAB REMARKS a
<br /> La0
<br /> z
<br /> a Z
<br /> , { J
<br /> ' � Z
<br /> Tab.WI
<br /> Q
<br /> O
<br /> W
<br /> 6
<br /> Z
<br /> 4 U.
<br /> Q
<br /> ;Z. n
<br /> w O
<br /> U
<br /> _ r a
<br /> U
<br /> w �
<br /> - - W
<br /> By submittal of sample(s), client agrees to abide by the Terms and Conditions set forth on the reverse of this document }
<br /> 0
<br /> £ A [NQUISHER BY DATEfTIME RECEIVED BY RELI QUISHE BY DATE/TIME RECEIVED BY >-
<br /> � �s d
<br /> }(ilA pNYR+I" xR
<br /> MP,' eta 8E1� 1Q �� �E�r' �1tIM"Ir •'
<br /> MATRIX AO=Aqueous Nondrinking Water,Digested Metals,
<br /> r"-4 � W . ,. �
<br /> FE=Low R L s Aqueous NondTinking Water Di ested Metals,N
<br /> `"„f, , ° ; �};, a e i`i rtsi€y,ri -. .i r-'•• n+w'>.. .�;i ta".r .. r„^ ^� �' s i£ n r't 3v . Y..�3:
<br /> DW=Dunking Water, SL=Soil Sludge,Solid,FP=Free Product
<br /> �"'� 3.1.- �»..�w _x't-.- <'�. �`��'�'" �,.f i R 1� e t_3, "iT �.''Y« `�"b:..�..�7R.,i:"`_t•., �-�'� 1y>t�£� 3
<br /> ' CONTAINER TYPES AL=Amber liter,AHL=500 m!
<br /> a..',_.. l-r ....i i r"^.t...S�Z'i r..�..»+rr '+`',"" id
<br /> 5( =11P„ ;° "�? c"y "W '.,� 2. 4-9, Amber,PT=Pmt(Plastic),QT=Quart(Plastic),HG=Half Gal
<br /> (Plastic), ass Tube,
<br /> fu,a��9i,.R �__ -i3xri� � _ �L.n�M_ � r•-� ., w" ,i'�.a X ion Plastic 5J=501 Jar,B4=4 oz SACT,97=Br
<br /> �i7V.Cl '' «x�er. �2.a er,v t tS,dq�d,ss.r 7_ ': ,e1 r 1 '�t�� �. 4tlr �i"' ix',;, � '--R�` d
<br /> VOA=40 mL VOA,OTC=Other Type Container
<br /> � pie., c... "z ,:t
<br /> s ,� a �P � u�s _ a "u yet, ,(a;, _ L , s�"£` y. '�`�3 »x¢ £f' ""?.s.K« ;ik•5� � r "'_"��3�
<br />
|