Laserfiche WebLink
} <br /> PROD UMBER PROJECe NAME ANALYSES REQUESTED R)R LAB USE ONLY <br /> I <br /> LAB c -- <br /> CLIENT NAME N PROJIF -- --- - <br /> REPORT iO� COPY TO: ACK VERIFIED-.- <br /> Q DAIE INVOICED <br /> REQUESTED COMPLETIGN DATE LABORATORY V <br /> � NO.OF SAMPLES pg—Of <br /> —I a I DISPOSITION: D R pAii--- <br /> E <br /> STA I 0 OV } 0 SAMPLE DESCRIPTION Z REMARKS <br /> NO ! DATE i TIME , <br /> — — <br /> — <br /> DATE RECEIVED$Y;(SIGNATURE) — DASE/TIME <br /> ""PLED BY AND PILE(SIGNATURE) DATE/TIME RELINQUISHED BY(SIGNATURE) �IME <br /> ' 2 3 <br /> RELINQUISHED BY:(SIGNATURE) I DATE/TIME RECEIVED BY;(SIGNAdURE} DATE/TSME RELINQUISHED BY:(SIGNATURE) DATE/TIME RECEIVED BY IAB:(SIGNATURE) DATE/TIME <br /> 5 6 7 <br /> 4 <br /> SAMPLING PROGRAM SAMPLE SHIPPED VIA AIR BUS BELL NUMBER <br /> REMARKS SOWA NPOES RCRA OTHER ❑ 0 BUS❑FED-EX❑ © <br /> 11 KS <br /> [3HAND OTHER <br /> _ RFV 6J87 FORM 3J0 <br /> DISIRIBUTIONY.'HITE—ORIGINAL ACCOMPAMES SHIPMENT FIGURE 4-3 <br /> SF0316DS.WP CHAIN OF CUSTODY RECORD <br /> EAST MINER AVE TANK LOCATION <br /> Del t.tonte Plant 33 <br /> Stockton, California <br />