Laserfiche WebLink
i �.� .,V', aME, ,LTA:4 r ► An,i ... r r C„Ali'. -,F C.STL.,Y r r r <br /> � Laboratory Copy (1 of 3) o <br /> tL 31032:11.034003 TEST DESCRIPTION' - See Re,erse side for Contam er,Pre native ani Sampling inCormar,en B1C9 <br /> Client: Sto Uou Baptlsl Church n <br /> ua <br /> .4Vress:5490 N.HaN 99 � �+ <br /> S:wkton.C.� 95212 00 <br /> z <br /> Phone; (M)931.6101 Fac (209)931-61C8 :] <br /> a � <br /> pl Ccnlaa Pawn: S;e,e Klhlthau , N <br /> Project Name: Nitrate Monitoring a <br /> I Rrchase War Numtvr. _ a <br /> v u? <br /> � F o <br /> m = w a , <br /> n Samplers) = x <br /> O n x w <br /> o <br /> Compocitca Setup Dae: Time: <br /> c Z c ry o <br /> D Lab NumYr: ST 3-1096719 <br /> h <br /> L amp Location Dripri.0 Date Time <br /> tsc = <br /> N <br /> Num Sa. plcd impled f 1-- <br /> va 3 <br /> L 1 well � )(�j �i G DW I <br /> Y <br /> N <br /> IU <br /> N <br /> V) <br /> L <br /> O <br /> N <br /> N <br /> N <br /> a <br /> a. <br /> m <br /> N Remarks: Rdi ii'.tJ / D3te: Time: Rt'.quis `` ate Time: e _ _ 0 Dite: Time: <br /> M IG�tJ�v3 (y3 lLil' �3 <br /> Ln Ill Re: pate: Time: Rc:ei+ed By: Da:e: ned By a!t: <br /> 0 o , 3j ��?J �(,----- �X <br /> rn rn " <br /> 0 <br /> m ' <br /> L S_girV'3te OI';:eeE LaScratoty 4t}he 4 LOCota:ory F_fl144L•:S <br /> PO _a2-2 ?-_�:•i.-'r-:-�::e:: Celia Ca ': <br /> Se"a°a rla. :.:31 i1-2 s'.3cv_ 'N'2•'. cL 3=-9e'a <br /> ICL °'Sic -EL <br /> =eY:f>-F _a-'-9439 <br /> FAX is ii`:=.:'-_ F.ik =.. _-2:=.i � - <br />