Laserfiche WebLink
® © Analytical Chain of Custody Record Page: <br /> 9 0-" f� .— <br /> Associates, Inc. <br /> 1! Billing Information <br /> 401:1_Power.lnrt Rd.,_Ste.�G_- -�_ � �' ,, ( r��� �Company Name: <br /> CompanyName:-� n �tS�� rrSU� <br /> Sacramento, CA 95826 <br /> Address: ' 3/ C�G�.+�r•„�<_P n Address: <br /> Voice: (916) 451-5034 City, State, Zip: „;e ✓.;IJ. C-,4 I J�City, State, Zip: <br /> FAX: (916) 451-6123 <br /> REBS: (916) 451-9553p <br /> Tele hone: �����- �"' � � - �� Telephone: <br /> FAX: FAX: <br /> Project Name: Report Attn:/4a A.5 Contact: <br /> Project #: .7-1" ; ' i e f <br /> Contact: f. P.O. #: <br /> Control C` <br /> Sample Date Time Sample Tests # of Sam lin s. Remarks {include Number one <br /> p Location) Sampling Lab Use <br /> Identification Sampled SampledRequired Jars Method type & appearance) <br /> Position' Only F P <br /> { <br /> I:p <br /> J= <br /> WL - <br /> �' <br /> r. <br /> ti <br /> i1`p1 <br /> N <br /> F:FiAered <br /> Sampler's Signature: <br /> Total Number of Containers: P:Preserved <br /> n <br /> Relinquished b<-:z' Company Relinquished by: Company Relinquished by: Company <br /> Received by:. Company Received by: Company Received by Lab: Company <br /> Date !Time Temp ("C) Date /Time Temp ('C) Datei!Time Temp I'CI <br /> nf�t� i <br /> ��tlnnWhite f'.in:v.ry - ! .7hnr;itnry Pink - (-1r�n�natnr .�n.,.� .� ,..,,,�,,.. ,... .r. .. ,.,�... ,,, .� ..,-i„r.,.. ..- , .. <br />