Laserfiche WebLink
SEIJOIA ANALYTICAL <br /> 819 S r Avenue. Suite 8 • Sacramento, CA 95834 <br /> (9 16) 9219600 • FAX (Bili) 9210 100 �s <br /> CHAIN OF CUSTODY REPORT <br /> REPORT TO <br /> j (Protect Manager): d �j TURNAROUND TIME: <br /> I`PLEASE SEND REPORT TO PLEASE SEND BILL TO-Of different from report address) 8 24 48 72 5 7 - 10 <br /> �DDRE55• Q a d r �]� U ADQRESS• — <br />� d � Hrs. Mrs Mrs Mrs Days Das Day <br /> iITY, STATE �� r_ CITY, STATE, S <br /> 111P �='� gl PHONE 37,,2—y7ao FAX 3ZZ g7Fy ZIP•gs$�7 ATTR <br /> kPROJECT NAME/SITE I x P.O. #/BILLING REFERENCE: �4 /V/ 4 2- p 9 <br /> p I cF ANALYSIS REQUESTED <br /> SAMPLER• DATE: <br /> SAMPLE <br /> SAMPLE ID N/ SAMPLE HUMBER TYPE SAMPLING V 0 REMARKS: NUMBER <br /> STATION DESCRIPTION OF CONT CONT. TIME DATE �l " <br /> 7, <br /> ya SLG <br /> s� q1 7 <br /> ELINQUI D BY* DA E: TIME: RECE Ep BY• <br /> ;RAVEL TIME: <br /> 'i ON SITE TIME: <br /> tELiHQUISHED BY: DATE: TIME: RECEIVED BY: OTHER: <br /> HERE SAMPLES: YES NO <br /> ELINQUISHED BY: DATE: ME. RECEIVED BY: PRESERVED? 7� <br /> I— L I IN GOOD CONDITION? <br />