Laserfiche WebLink
M Chesap�Drnre*Realw aCtty,CA 94063•(415)38"601 FAX(4159 3 33` <br /> IA AI��ILYT� �4�. rA 9M4. 1s) 921-f3 9 F"(816) 0100 <br /> a <br /> UO �] 819 5irder Aire..9t:l�8 S2mer�# ('� <br /> CHAIN OF CUSTODY 0 404 N.Wiget Lane• Walnut creels, CA 94598•(SI 0)98"600 FAX(610)905-073 <br /> P.,,dres <br /> ma: An 4&sclz-L- �� l•"c. ProjBclName' �r i O r-•• Billing Address(ft diffor�,Slate: e, .� Zip Code:��t FAQ.#- � ���Z�Z PO_#.,.�. L�.►� �r-.nncv. �m r �o--�� " - � pC DaCa ❑Level D sten Ll Level Cmoo A sas %- Fe a <br /> Turnaround 1k10 Working Days ❑3 Working Days ❑2-e Hours U Drinking Wetar <br /> Time: ❑7 IRloridng Days ❑2 Wong Days ❑ Waste Water 41. <br /> Other <br /> ,�� e,� � <br /> ❑5 Working Days p 24 Hours ❑ 1iy w i <br /> Client Dat nMe Matrix #of Cant. Sequoia's �, �� ,�� Comments <br /> Samples D Sampled Desc Cont Type Sample* <br /> 1'14 <br /> �5sc _ 3�Z ► 3 <br /> } <br /> i 4 S'k S 2 14 <br /> n � <br /> t r <br /> i,j <br /> 10. _ <br /> D* f Time y Q Rived B Date. f timet /, ? <br /> FWn"shed 8y:721-^�.— <br /> ID <br /> Ri�iir►quisA`ed By, - <br /> Time FROM Ry: spate: ma y <br /> Date Tang R ad Lab Fit^ GI Law 7 - <br /> Rell� �is�e _ - <br /> Were S� pfss Pie <br /> cawed tit Gogd Gond,iiar+?-0 Yes i0 Na Samples oil lee? 0 Yes v �a Nfethod of Shipment - page alp�-- <br />