Laserfiche WebLink
CASTLOANALYTICAL LABORATORY #3?g CHAIN OF CUSTO <br /> rim <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 ) / <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE I OF 1 <br /> Phone (209) 384-2930 - Fax 1209) 384-1507 <br /> IUJCustomer r4AVawed REQUESTED ANALYSES Method of Shipment <br /> Address WA � $ � � C.�- J9Vern t �!1 <br /> City/Statelzip rAo Cfe� r` z Notes <br /> Phone / FAX <br /> W <br /> Pro) # I P.0 #. _ w gCE <br /> w <br /> = <br /> Report Attention fti 9 a <br /> Sampler Signature a _ m If <br /> Printed• " z <br /> Lob 100 SAMPLE ID DATE TIME DESCRIPTIONILOCATION OBSERVATIONS/REMARKS <br /> MW I 3-40-M 12-9b 33126 <br /> 3--to �Zp 33127 <br /> Yyrt�J o-�70 1 S <br /> 33128 <br /> 33129 <br /> VOL SIOTIER <br /> lap I <br /> 1 <br /> r <br /> r I <br /> PRESEtAT <br /> ION <br /> GOOD ONDMON APPROTE <br /> 0D ACE AB N N <br /> -F ttt tl -VrpCr <br /> Total number of conte ners submitted to <br /> tura Prin ed a e Da Time Com any Name the laboratory <br /> Relinquished by r pe Note All special requests(e g quick <br /> tum times)must be cleared through <br /> Received by rg., 3a authorized laboratory personnel <br /> Relinquished by <br /> Received by <br /> Relinquished by RESULTS DUE <br /> Received by <br /> VERBAL {- WRITTEN <br />